MEDICARE: MEDISCAN IMAGING INC

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
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1457585291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDISCAN IMAGING INC

Provider Business Mailing Address
First Line	:	3308 TULANE AVE
Second Line	:	SUITE 304
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7100
Country	:	US
Telephone Number	:	323-253-6991
Fax Number	:

Provider Business Practice Location Address
First Line	:	3308 TULANE AVE
Second Line	:	SUITE 304
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7100
Country	:	US
Telephone Number	:	323-253-6991
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	LEV EGANOV
Credential	:
Telephone Number	:	323-253-6991

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

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Directions to “MEDISCAN IMAGING INC ” Practice Location

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