| NPI | 1780639559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY O. GREMILLION Office Manager 318-443-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-10-16 |