MEDICARE: MAGNOLIA DIAGNOSTICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1134278328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGNOLIA DIAGNOSTICS INC

Provider Business Mailing Address
First Line	:	2700 CADIZ ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6930
Country	:	US
Telephone Number	:	504-891-1979
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 CADIZ ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6930
Country	:	US
Telephone Number	:	504-891-1979
Fax Number	:

Authorized Official
Title or Position	:	CORP TREASURER SECRETARY
Name	:	MRS. TERRI E CALEGAN
Credential	:	R.T.
Telephone Number	:	504-891-1979

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

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Directions to “MAGNOLIA DIAGNOSTICS INC ” Practice Location

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