GLENWOOD SPECIALTY IMAGING LLC NPI 1336445816

NPI Information

GLENWOOD SPECIALTY IMAGING LLC is a magnetic resonance imaging (mri) clinic center in West Monroe, LA. GLENWOOD SPECIALTY IMAGING LLC NPI is 1336445816. The provider is registered as an organization entity type.

The provider's business location address is:

111 MCMILLAN RD
WEST MONROE, LA
ZIP 71291-319
Phone: (318) 387-2235
Fax: (318) 388-4334

The provider's authorized official is Ronald J Elder .
The authorized official title is Officer and has the following contact phone number (318) 329-4200.

The CLIA number assigned to this NPI record is 19D2087108 - other - behavioral health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2011 and was last updated on 2/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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