Organization
FAIRWAY IMAGING, LLC
Active
Other names
Premier MRI 4 U
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RESTER (ADMINISTRATOR)
(985) 809-6744
Entity
Organization
Contact information
Practice address
1200 PINNACLE PARKWAY, SUITE 5, COVINGTON, LA 70433-9169
(985) 809-6744
(965) 809-6745
Mailing address
1200 PINNACLE PARKWAY, SUITE 5, COVINGTON, LA 70433-9169
(985) 809-6744
(985) 809-6745
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
04/15/2016
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