Organization
ST. CHRISTOPHER'S IMAGING, LLC
Active
Parent organization
ST. CHRISTOPHER'S IMAGING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CHRISTOPHER'S IMAGING, LLC
Authorized official
MR. CHRISTOPHER A SANTORA RDMS,RVT,ARRT (MANAGING PARTNER)
(318) 658-9637
Entity
Organization
Contact information
Practice address
1725 ELIZABETH AVE, SHREVEPORT, LA 71101-4502
(318) 658-9637
(318) 425-9189
Mailing address
1725 ELIZABETH AVE, SHREVEPORT, LA 71101-4502
(318) 658-9637
(318) 425-9189
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
01957841
LA
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158554
—
LA
Enumeration date
01/23/2015
Last updated
06/15/2015
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