MEDICARE: LA MRI, 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	:	1598807257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA MRI, INC

Provider Business Mailing Address
First Line	:	2930 CANAL ST
Second Line	:	SUITE 400
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6367
Country	:	US
Telephone Number	:	504-821-2574
Fax Number	:	504-821-2595

Provider Business Practice Location Address
First Line	:	4550 NORTH BLVD
Second Line	:	SUITE 100
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4013
Country	:	US
Telephone Number	:	225-454-6276
Fax Number	:	225-454-6280

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT G HARVEY JR.
Credential	:
Telephone Number	:	504-821-2574

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/22/2020

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