Organization
ENVISION IMAGING OF ACADIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JONES (PARTNER)
(719) 955-4332
Entity
Organization
Contact information
Practice address
856B KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 593-9500
(337) 593-0909
Mailing address
8610 EXPLORER DR, STE 300, COLORADO SPRINGS, CO 80920-1058
(719) 955-4140
(719) 955-4148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120413
—
LA
05
—
1123862
—
LA
05
—
1164798
—
LA
05
—
1575437
—
LA
Enumeration date
11/22/2005
Last updated
05/11/2015
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