Morehouse Computerized Imaging
Organization Active NPI Radiology Clinic/Center · Bastrop, LA
NPI 1255360558 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1255360558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- MOREHOUSE COMPUTERIZED IMAGING
- Practice address
- 416 Gunby Ave
Bastrop, LA 71220-4406 - Phone
- (318) 281-3088
- Fax
- (318) 281-5832
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Edward Chorette, M.D.
- Title
- Physician/ Supervising Physician
- Phone
- (318) 387-3453
National Provider Directory
Locations
416 Gunby Ave
Bastrop, LA 71220
Phone (318) 281-3088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
416 Gunby Ave
Bastrop, LA 71220-4406
Mailing address
1601 Lamy LN
Monroe, LA 71201-3735
Phone (318) 387-3453
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1945617 | Medicaid | LA |
Other providers in Bastrop, LA
- Morehouse Community Medical Centers, Inc
- Morehouse Community Medical Centers, Inc.
- Morehouse Community Medical Centers, Inc.
- Morehouse Community Medical Centers, Inc.
- Morehouse Community Medical Centers, Inc.
- Morehouse Emergency Group LLC
- Morehouse General Hospital
- Morehouse General Hospital
- Morehouse General Hospital
- Morehouse General Hospital
All providers in Bastrop, LA · Radiology Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.