Organization
NORTH SHORE MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W. HOLMES (CHIEF OPERATING OFFICER)
(337) 291-9161
Entity
Organization
Contact information
Practice address
19300 N 4TH ST, SUITE B, COVINGTON, LA 70433-8720
(985) 871-6655
(985) 871-5050
Mailing address
19300 N 4TH ST, SUITE B, COVINGTON, LA 70433-8720
(985) 871-6655
(985) 871-5050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442054
—
LA
Enumeration date
07/15/2005
Last updated
02/15/2008
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