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General NPI Number Information
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NPI Number | 1952302929
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Entity Type | Organization
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Legal Business Name | WEST JEFFERSON MRI, LLC
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1111 MEDICAL CENTER BLVD SUITE N-110
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City | MARRERO
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State | LA
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Zip | 70072-3151
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Country | US
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Telephone | 504-349-6570
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Fax | 504-934-8040
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Provider Business Mailing Address
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Address Line | 1111 MEDICAL CENTER BLVD SUITE N-110
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City | MARRERO
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State | LA
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Zip | 70072-3151
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Country | US
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Telephone | 504-349-6570
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Fax | 504-934-8040
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. PATRICK G. HOWARD
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Credential |
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Telephone | 337-291-9161
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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 | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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