Glenwood Specialty Imaging LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

GLENWOOD SPECIALTY IMAGING LLC

Practice address

111 McMillan Rd
West Monroe, LA 71291-5319

Phone

(318) 387-2235

Fax

(318) 388-4334

NPI assigned

Feb 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald J Elder

Title

Officer

Phone

(318) 329-4200

Specialties & licenses 1

Addresses

Tax ID family

Glenwood Specialty Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Surgery Center at Salt Lake Regional, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Salt Lake City, UT
  • NPI 1922148063
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1336445816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEABOARD LN BLDG E",
            "address_2": "ATTN: IASIS CORPORATE LEGAL DEPARTMENT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672855",
            "telephone_number": "615-844-2747",
            "fax_number": "615-467-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915319",
            "telephone_number": "318-387-2235",
            "fax_number": "318-388-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD SPECIALTY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "318-329-4200"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Evelyn Ginn, RPH
• Morgan Ginn
• Sonja Michelle Givens, LPN
• Kelly Len Glaze
• Glenwood Family Practice and Occupational Health Center, Inc
• Stacy Glover
• Zachary Godfrey
• Cesar Z Gonzales, M.D.
• Stephanie Lynn Gonzales
• Jenna Wrenn Gonzalez I

• Magnetic Resonance Imaging (MRI) Clinic/Center in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.