Organization
EVANGELINE CLINICAL SERVICES, INC.
Active
Other names
CHRISTUS Advanced Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MERRYMAN (CFO)
(318) 561-7188
Entity
Organization
Contact information
Practice address
855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
(318) 861-7413
(318) 865-5792
Mailing address
855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
(318) 861-7413
(318) 865-5792
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2015
Last updated
05/29/2015
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