Provider Demographics
NPI:1396062360
Name:JATS IMAGING SERVICE LLC
Entity type:Organization
Organization Name:JATS IMAGING SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SYLVESTRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-728-4553
Mailing Address - Street 1:1101 JULIA ST
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-2962
Mailing Address - Country:US
Mailing Address - Phone:318-728-4553
Mailing Address - Fax:
Practice Address - Street 1:1962 JULIA ST
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-5527
Practice Address - Country:US
Practice Address - Phone:318-728-8839
Practice Address - Fax:318-728-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology