Provider Demographics
NPI:1760777866
Name:DIGITAL IMAGING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DIGITAL IMAGING SOLUTIONS, LLC
Other - Org Name:DIGITAL DIAGNOSTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:GREESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-936-9436
Mailing Address - Street 1:6614 PIKES LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4272
Mailing Address - Country:US
Mailing Address - Phone:225-936-9436
Mailing Address - Fax:
Practice Address - Street 1:2340 S RANGE AVE
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5216
Practice Address - Country:US
Practice Address - Phone:225-665-6202
Practice Address - Fax:225-490-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology