Provider Demographics
NPI:1568883122
Name:PALAFOX LEASING LLC
Entity Type:Organization
Organization Name:PALAFOX LEASING LLC
Other - Org Name:OPEN MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-450-0859
Mailing Address - Street 1:42078 VETERANS AVE STE F
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1490
Mailing Address - Country:US
Mailing Address - Phone:985-340-1960
Mailing Address - Fax:985-340-1967
Practice Address - Street 1:42078 VETERANS AVE STE F
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1490
Practice Address - Country:US
Practice Address - Phone:985-340-1960
Practice Address - Fax:985-340-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)