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General NPI Number Information
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NPI Number | 1801614490
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Entity Type | Organization
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Legal Business Name | COL IMAGING SOLUTIONS LLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 100 ZACHARY DR
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City | SCOTT
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State | LA
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Zip | 70583-5332
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Country | US
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Telephone | 337-291-9161
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ZACHARY DR
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City | SCOTT
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State | LA
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Zip | 70583-5332
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Country | US
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Telephone | 337-291-9161
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PATRICK HOWARD
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Credential |
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Telephone | 985-264-8274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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