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NPI Code Detail

MEDICARE: NEW ORLEANS IMAGING LLC

MEDICARE: NEW ORLEANS IMAGING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1184878795
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ORLEANS IMAGING LLC
Provider Business Mailing Address
First Line : 4605 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-1517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-1517
Country : US
Telephone Number : 504-883-8111
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHEA SOLL
Credential :
Telephone Number : 504-883-8111
Provider Enumeration Date : 11/10/2008
Last Update Date : 11/10/2008

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Directions to “NEW ORLEANS IMAGING LLC ” Practice Location

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