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Organization

OPEN MRI OF NORTHWEST LOUISIANA LLC

Active
Other names
Advanced Diagnostics
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES W. HOLMES (CHIEF OPERATING OFFICER)
(337) 291-9161
Entity
Organization

Contact information

Practice address
855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
(318) 861-7413
(318) 865-5792
Mailing address
855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
(318) 861-7413
(318) 865-5792

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447421
LA
Enumeration date
07/15/2005
Last updated
02/15/2008
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