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General NPI Number Information
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NPI Number | 1609265792
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Entity Type | Organization
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Legal Business Name | RIVER BEND IMAGING LLC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 490 BELLE TERRE BLVD
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City | LA PLACE
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State | LA
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Zip | 70068-1700
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Country | US
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Telephone | 504-915-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 4241 VETERANS MEMORIAL BLVD STE 200
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City | METAIRIE
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State | LA
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Zip | 70006-5430
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Country | US
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Telephone | 504-459-3201
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Fax | 48-835-3845
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Authorized Official
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Title or Position | CEO
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Name | JOHN P STAGG
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Credential |
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Telephone | 225-270-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 00018990
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License Number State | LA
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