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NPI Code Detail

MEDICARE: JEFF DAVIS IMAGING

MEDICARE: JEFF DAVIS IMAGING
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
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235192352
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFF DAVIS IMAGING
Provider Business Mailing Address
First Line : P O BOX 357
Second Line :
City : JENNINGS
State : LA
Zip : 70546-0357
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1634 ELTON RD
Second Line :
City : JENNINGS
State : LA
Zip : 70546-3614
Country : US
Telephone Number : 337-616-7000
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : ROBERT CHRIS SCHUMACHER
Credential : M.D.
Telephone Number : 337-616-7000
Provider Enumeration Date : 04/10/2006
Last Update Date : 10/06/2014

Similar Medicare Providers

1114921160 — JENNINGS AMERICAN LEGION HOSPITAL, INC.
Practice Location Address:
1634 ELTON RD
JENNINGS, LA
70546-3614
Practice Phone: 337-616-7030
Practice Fax: 337-616-7034
1417941162 — JEROME GALLIEN M.D.
Practice Location Address:
1634 ELTON RD
JENNINGS, LA
70546-3614
Practice Phone: 337-616-7000
Practice Fax:
1427042175 — ALDES J. ROZAS III M.D.
Practice Location Address:
1634 ELTON RD
JENNINGS, LA
70546-3614
Practice Phone: 337-616-7000
Practice Fax: 337-824-1171
1710972211 — ROBERT C. SCHUMACHER M.D.
Practice Location Address:
1634 ELTON RD
JENNINGS, LA
70546-3614
Practice Phone: 337-616-7000
Practice Fax: 337-824-1171
1043289572 — JEFFERSON DAVIS EMERGENCY GROUP LLC
Practice Location Address:
1634 ELTON RD
JENNINGS, LA
70546-3614
Practice Phone: 337-616-7160
Practice Fax:
1154383925 — JEFF DAVIS RADIOLOGY ASSOCIATES
Practice Location Address:
1634 ELTON RD
JENNINGS, LA
70546-3614
Practice Phone: 337-824-4403
Practice Fax: 337-824-9731

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