Organization
OPELOUSAS RADIOLOGY GROUP LTD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RO RISA REINA MD (OWNER)
(337) 261-5151
Entity
Organization
Contact information
Practice address
1305 CROWLEY RAYNE HWY, CROWLEY, LA 70526-8202
(337) 261-5151
Mailing address
PO BOX 52069, LAFAYETTE, LA 70505-2069
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1794783
—
LA
Enumeration date
10/03/2005
Last updated
06/19/2015
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