| NPI | 1609265792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P STAGG CEO 225-270-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: LA 00018990) |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-09-25 |