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Contact Information

OPEN AIR MRI OF LAKE CHARLES LLC
3114 LAKE ST
LAKE CHARLES, LA70601
 Phone: 337-474-3333
 Fax: 337-474-3330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for OPEN AIR MRI OF LAKE CHARLES LLC

NPI Number 1053310698
LBN Legal business name OPEN AIR MRI OF LAKE CHARLES LLC
Authorized official JAMES HOLMES - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 02/11/2008 - About 18 years ago
Identifiers
LA Medicaid 1949884
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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