Organization
ULTRASOUND ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W. HOLMES (CHIEF OPERATING OFFICER)
(337) 291-9161
Entity
Organization
Contact information
Practice address
165 FRONTAGE ROAD, SUITE B, GRAY, LA 70359
(985) 580-2888
(985) 851-7526
Mailing address
165 FRONTAGE ROAD, SUITE B, GRAY, LA 70359
(985) 580-2888
(985) 851-7526
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449784
—
LA
Enumeration date
11/02/2005
Last updated
01/04/2008
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