South Ryan Mri, Llc in Lake Charles - Body Imaging
South Ryan Mri, Llc - NPI 1376649061
South Ryan Mri, Llc is a Body Imaging in Lake Charles, Louisiana. South Ryan Mri, Llc practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for South Ryan Mri, Llc is 1376649061. The last update date is 2013-03-05.
South Ryan Mri, Llc's current location address is Po Box 3184, Lake Charles, Louisiana. You can contact this provider via phone number 3374397778 and fax number 3374334686. The mailing address for South Ryan Mri, Llc is Po Box 3184, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Ryan Mri, Llc |
|---|---|
| Address | Po Box 3184, Lake Charles, Louisiana |
| Phone Number | 3374397778 |
| Fax Number | 3374334686 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Brdlik J. Charles |
| Credentials | M.D. |
| Telephone Number | 3374397778 |
NPI Number Detail
| NPI Number | 1376649061 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
| Address | Po Box 3184 |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706023184 |
| Phone Number | 3374397778 |
| Fax Number | 3374334686 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1445525 | LA | -- | |
| DA6047 | LA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Ryan Mri, Llc by the Centers for Medicare & Medicaid Services?
The South Ryan Mri, Llc has been issued the NPI (National Provider Identifier) 1376649061, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the South Ryan Mri, Llc located?
The South Ryan Mri, Llc is located at Po Box 3184, Lake Charles, LA 706023184.
What is the South Ryan Mri, Llc's specialty and taxonomy code?
The South Ryan Mri, Llc's specialty is Body Imaging, and the corresponding taxonomy code is 2085B0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376649061 to South Ryan Mri, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1376649061 to South Ryan Mri, Llc on 2006-09-16.
As of what date was the information pertaining to South Ryan Mri, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Ryan Mri, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-05.