| NPI | 1093825689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORD G JACKA Business Manager 318-387-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |