| NPI | 1093738478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HENRY COCHRAN Vice President 318-424-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: LA LA10218-L01) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |