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Contact Information

WEST JEFFERSON MRI, LLC
1111 MEDICAL CENTER BLVD
SUITE N-110
MARRERO, LA70072-3151
 Phone: 504-349-6570
 Fax: 504-934-8040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for WEST JEFFERSON MRI, LLC

NPI Number 1952302929
LBN Legal business name WEST JEFFERSON MRI, LLC
Authorized official PATRICK HOWARD - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2005
Last updated 09/23/2024 - More than a year ago
Identifiers
LA Medicaid 1442607
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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