NPI 1255330882

Beauregard - Vernon MRI LLC

Organisation Physiological Laboratory Deridder, LA

Practice location

Address: 600 S Pine St MRI Suite, Deridder, LA 70634-4942
Phone: (337) 462-9946
Fax: (337) 462-9947

Authorised official

Name: James W. Holmes
Title: Chief Operating Officer
Phone: (337) 291-9161

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Louisiana →

Registry record

NPI: 1255330882
Entity type: Organization
NPI issued: 15 Jul 2005
Record last updated: 13 Feb 2015

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.