Organization
JEFFERSON RADIOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH ALLINE M.D. (PRESIDENT)
(504) 349-1461
Entity
Organization
Contact information
Practice address
1101 MEDICAL CENTER BLVD, RADIOLOGY DEPT., MARRERO, LA 70072
(504) 349-1461
(504) 349-1461
Mailing address
1111 MEDICAL CENTER BLVD., SUITE N-108, MARRERO, LA 70072
(504) 349-1461
(504) 349-1461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09012562
—
MS
05
—
1794449
—
LA
Enumeration date
05/05/2006
Last updated
04/09/2015
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