Provider Demographics
NPI:1942587704
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:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREESON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-378-4643
Mailing Address - Street 1:PO BOX 53662
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-3662
Mailing Address - Country:US
Mailing Address - Phone:225-675-8363
Mailing Address - Fax:866-220-3712
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:2011-11-08
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty