Organization
RADIANT NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA LAROQUE (DIRECTOR, CLIENT EXPERIENCE)
(210) 598-2800
Entity
Organization
Contact information
Practice address
8550 UNITED PLAZA BLVD BLDG STE 305, BATON ROUGE, LA 70809-2256
(854) 202-8292
Mailing address
1141 N LOOP 1604 E # 105-612, SAN ANTONIO, TX 78232-1339
(854) 202-8292
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
Other
Enumeration date
06/19/2017
Last updated
05/09/2022
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