Healthcare Provider Details

I. General information

NPI: 1962474759
Provider Name (Legal Business Name): RED RIVER CARDIAC IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 PRESCOTT RD SUITE 116
ALEXANDRIA LA
71301-3900
US

IV. Provider business mailing address

3311 PRESCOTT RD SUITE 116
ALEXANDRIA LA
71301-3900
US

V. Phone/Fax

Practice location:
  • Phone: 318-767-2131
  • Fax: 318-767-2159
Mailing address:
  • Phone: 318-767-2131
  • Fax: 318-767-2159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAA H. YOUNES
Title or Position: DIRECTOR
Credential: M.D.
Phone: 318-767-2131