Organization
MADISON COMPUTERIZED IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD P NEUMANN JR. MD (PRESIDENT)
(318) 574-4731
Entity
Organization
Contact information
Practice address
900 JOHNSON ST, TALLULAH, LA 71282
(318) 574-4731
(318) 574-4739
Mailing address
PO BOX 308, TALLULAH, LA 71284-0308
(318) 574-4731
(318) 574-4739
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440884
—
LA
01
—
F6993
BLUE CROSS OF LA
—
Enumeration date
12/04/2006
Last updated
03/17/2008
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