institution
Riverpark Imaging Center Llc
Radiology Clinic/Center in Vidalia, Louisiana
NPI 1699761429

Riverpark Imaging Center Llc is a Radiology Clinic/Center based in Vidalia, LA and is specialized in Radiology. Riverpark Imaging Center Llc practices in Vidalia, LA. The NPI Number for Riverpark Imaging Center Llc is 1699761429 and holds a License No. 261QR0200X (Louisiana).

The current practice location address for Riverpark Imaging Center Llc is 107 Front St, Vidalia, LA and can be reached out via phone at 318-336-2225 and via fax at 318-336-6060.

Location: 107 Front St, Vidalia, LA, 71373-2834
institution
Provider Profile Details
NPI Number
1699761429
Provider Name
Riverpark Imaging Center Llc
Credential
Provider Entity Type
Organization
Address
107 Front St, Vidalia, LA, 71373-2834
Phone Number
318-336-2225
Fax Number
318-336-6060
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2415 01 MS BLUE CROSS PROVIDER# MS
G7265 01 LA BLUE CROSS PROVIDER # LA
institution
Provider Business Practice Location Address Details
Address
107 Front St
City
State
Zip
71373-2836
Phone Number
318-336-2225
Fax Number
318-336-6060
person
Provider Business Mailing Address Details
Address
107 Front St
City
State
Zip
71373-2836
Phone Number
318-336-2225
Fax Number
318-336-6060
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
261QR0200X (Louisiana)
Definition
Definition to come...
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