Organization Name: | RADIOLOGY IMAGING ASSOCIATES, LLP |
NPI Number: | 1265410583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KURT THOMAS GROZINGER (PRESIDENT) |
Mailing Address: | 2105 Airline Dr Radiology Department Bossier City |
State: | LA US |
Postal Code: | 711113105 |
Phone Number: | 3187416078 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |