Provider Demographics
NPI:1962747907
Name:PARADIGM IMAGING, L.L.C.
Entity type:Organization
Organization Name:PARADIGM IMAGING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-801-0571
Mailing Address - Street 1:PO BOX 1951
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-1951
Mailing Address - Country:US
Mailing Address - Phone:985-801-0571
Mailing Address - Fax:985-871-8109
Practice Address - Street 1:64301 HIGHWAY 434
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-5411
Practice Address - Country:US
Practice Address - Phone:985-801-0581
Practice Address - Fax:985-871-8109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARADIGM HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-03
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Multi-Specialty