Provider Demographics
NPI:1407108038
Name:RUSTON XRAY SERVICES LLC
Entity Type:Organization
Organization Name:RUSTON XRAY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SYDNEY
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:318-251-8001
Mailing Address - Street 1:1809 NORTHPOINTE LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-3853
Mailing Address - Country:US
Mailing Address - Phone:318-255-7591
Mailing Address - Fax:318-255-7584
Practice Address - Street 1:707 S VIENNA ST
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-5845
Practice Address - Country:US
Practice Address - Phone:318-251-8001
Practice Address - Fax:318-699-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA150372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty