Healthcare Provider Details

I. General information

NPI: 1457357501
Provider Name (Legal Business Name): OPENSIDED MRI OF NEW ORLEANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GALLERIA BLVD STE 715
METAIRIE LA
70001-7512
US

IV. Provider business mailing address

1 GALLERIA BLVD STE 715
METAIRIE LA
70001-7512
US

V. Phone/Fax

Practice location:
  • Phone: 504-837-6736
  • Fax: 504-837-0835
Mailing address:
  • Phone: 888-749-6736
  • Fax: 504-837-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number454551
License Number StateLA

VIII. Authorized Official

Name: LINDA RHODES
Title or Position: OFFICER TREASURER
Credential:
Phone: 804-217-7114