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Organization

BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES D DEAN (EXECUTIVE VICE PRESIDENT/COO)
(318) 716-4100
Entity
Organization

Contact information

Practice address
2120 KINGS HWY, SHREVEPORT, LA 71103-4015
(318) 716-4000
(318) 716-4075
Mailing address
PO BOX 38050, SHREVEPORT, LA 71133-8050
(318) 716-4000
(318) 716-4075

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1948888
LA
Enumeration date
09/29/2006
Last updated
04/26/2022
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