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NPI Code Detail

MEDICARE: DIGITAL IMAGING SOLUTIONS, LLC

MEDICARE: DIGITAL IMAGING SOLUTIONS, LLC
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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1760777866
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGITAL IMAGING SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 6614 PIKES LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4272
Country : US
Telephone Number : 225-936-9436
Fax Number :
Provider Business Practice Location Address
First Line : 2340 S RANGE AVE
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-5216
Country : US
Telephone Number : 225-665-6202
Fax Number : 225-490-4994
Authorized Official
Title or Position : OWNER
Name : CHARLES GREESON
Credential :
Telephone Number : 225-936-9436
Provider Enumeration Date : 06/16/2011
Last Update Date : 08/23/2011

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Directions to “DIGITAL IMAGING SOLUTIONS, LLC ” Practice Location

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