Beauregard - Vernon Mri LLC

NPI #1255330882 in Deridder, Louisiana

Provider Information

NPI Number
1255330882
Entity Type
Organization
Organization Name
Beauregard - Vernon Mri LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Jul 15, 2005
Last Updated
Feb 13, 2015

Practice Location

Address
600 S PINE ST
Address 2
MRI SUITE
ZIP Code
70634-4942
Phone
(337) 462-9946

Authorized Official

Name
JAMES W. HOLMES
Title
CHIEF OPERATING OFFICER
Phone
(337) 291-9161

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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