Provider Demographics
NPI:1699844860
Name:COL MANAGEMENT LLC
Entity Type:Organization
Organization Name:COL MANAGEMENT LLC
Other - Org Name:OPEN MRI OF WASHINGTON PARISH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-291-9161
Mailing Address - Street 1:2781 S COLUMBIA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-7961
Mailing Address - Country:US
Mailing Address - Phone:985-732-4979
Mailing Address - Fax:985-732-4974
Practice Address - Street 1:2781 S COLUMBIA RD
Practice Address - Street 2:SUITE B
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-7961
Practice Address - Country:US
Practice Address - Phone:985-732-4979
Practice Address - Fax:985-732-4974
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COL MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-06
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty