Provider Demographics
NPI:1598724239
Name:DELTA DIAGNOSTICS AND HEALTH RESOURCES, INC
Entity Type:Organization
Organization Name:DELTA DIAGNOSTICS AND HEALTH RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:DOLESE
Authorized Official - Last Name:SIGUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-388-8866
Mailing Address - Street 1:602 NATCHITOCHES ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-3132
Mailing Address - Country:US
Mailing Address - Phone:318-388-8866
Mailing Address - Fax:318-388-8891
Practice Address - Street 1:602 NATCHITOCHES ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-3132
Practice Address - Country:US
Practice Address - Phone:318-388-8866
Practice Address - Fax:318-388-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5C606Medicare ID - Type Unspecified