NPI 1629149414

X-Press Ray of Ouachita LLC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier West Monroe, LA

Practice location

Address: 122 Heritage Drive, West Monroe, LA 71291-1420
Phone: (318) 329-5844
Fax: (318) 397-2420

Authorised official

Name: Tommy Ray Bolton
Title: Owner
Phone: (318) 329-5844

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X Licence LA5080 (LA)

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Registry record

NPI: 1629149414
Entity type: Organization
NPI issued: 13 Nov 2006
Record last updated: 23 Jul 2008

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.