Radiology Associates, L.L.C.
Providing Cutting-Edge Diagnostic, Imaging and Intervention
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Forms

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registration form patient history form post op form hippa form
Registration Form Patient History Form Post Op Form HIPPA Form

 

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Lake Imaging Clinic Forms

 

 

 

 

 

 



 

 

 


Our Lady of the Lake RMC
5000 Hennessy Blvd.
Baton Rouge, LA 70808
Tel: 225-765-8819
Fax: 225-765-8120

Interventional Radiology Clinic
Our Lady of the Lake RMC
5000 Hennessy Blvd.
Baton Rouge, LA 70808
Tel: 225-765-6470
Fax: 225-765-8120

Lake Imaging Center
7135 Perkins Road
Baton Rouge, LA 70808
Tel: 225-765-8600
Fax: 225-765-5955

Remittance
Radiology Associates
P.O. Box 62600
Department 1939
New Orleans, La. 70162-2600

Billing

for dates of service prior to 9/1/11
First Coast Billing Group, Inc.
Tel: 800-266-9945

for dates of service after 9/1/11
McKesson's Revenue Management Solutions (RMS)
Tel: 866-599-5939


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