| Organization Name: | SPECIALTY IMAGING L.L.C. |
| NPI Number: | 1093825689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FORD G JACKA (BUSINESS MANAGER) |
| Mailing Address: | 111 Mcmillan Rd West Monroe |
| State: | LA US |
| Postal Code: | 712915319 |
| Phone Number: | 3183872235 |
| Fax Number: | 3183884334 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |