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EVANGELINE CLINICAL SERVICES INC. NPI 1548656465


NPI Information

NPI: 1548656465
Provider Name: EVANGELINE CLINICAL SERVICES, INC.

Doing Business As: CHRISTUS ADVANCED DIAGNOSTICS

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 19D2106966

Address:
855 PIERREMONT RD
SUITE 105
SHREVEPORT, LA
ZIP 71106
Phone: (318) 861-7413
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EVANGELINE CLINICAL SERVICES, INC. is a magnetic resonance imaging (mri) clinic center in Shreveport, LA. EVANGELINE CLINICAL SERVICES, INC. NPI is 1548656465. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Christus Advanced Diagnostics.

The provider's business location address is:

855 PIERREMONT RD
SUITE 105
SHREVEPORT, LA
ZIP 71106-084
Phone: (318) 861-7413
Fax: (318) 865-5792

The provider's authorized official is Scott Merryman .
The authorized official title is Cfo and has the following contact phone number (318) 561-7188.

The CLIA number assigned to this NPI record is 19D2106966 - other - indepen. diagn. testing with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 5/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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