NPI 1124310578

Paradox Entertainment, LLC

Organisation Diagnostic Radiology Physician Lafayette, LA

Practice location

Address: 2390 W Congress St, Lafayette, LA 70506-4205
Phone: (337) 261-6000
Mailing address: 107 E Shankland Ave, Jennings, LA 70546-4709

Authorised official

Name: Jonathan David Ingram
Title: Owner/Md
Phone: (310) 717-8542

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD.201213 (LA)

Other Radiology providers in Louisiana →

Registry record

NPI: 1124310578
Entity type: Organization
NPI issued: 4 May 2011
Record last updated: 4 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.