Organization
OPEN MRI OF WASHINGTON PARISH 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
2781 S COLUMBIA RD, SUITE B, BOGALUSA, LA 70427-7961
(985) 732-4979
(985) 732-4974
Mailing address
2781 S COLUMBIA RD, SUITE B, BOGALUSA, LA 70427-7961
(985) 732-4979
(985) 732-4974
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02056349
—
MS
05
—
1445100
—
LA
Enumeration date
07/15/2005
Last updated
02/15/2008
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