Organization
NEW ORLEANS REGIONAL GAMMA KNIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GABRIEL (PRINCIPAL)
(317) 634-2222
Entity
Organization
Contact information
Practice address
3434 PRYTANIA ST, SUITE 120, NEW ORLEANS, LA 70115-3532
(504) 891-2173
(504) 891-0147
Mailing address
PO BOX 95443, NEW ORLEANS, LA 70195-5443
(504) 891-2173
(504) 891-0147
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20145
BCBS OF LA
LA
Enumeration date
12/05/2005
Last updated
08/22/2020
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