Second Avenue Mri Llc in Lake Charles - Diagnostic Radiology
Second Avenue Mri Llc - NPI 1629174339
Second Avenue Mri Llc is a Diagnostic Radiology in Lake Charles, Louisiana. Second Avenue Mri Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Second Avenue Mri Llc is 1629174339. The last update date is 2014-02-13.
Second Avenue Mri Llc's current location address is 2770 3rd Ave, Lake Charles, Louisiana. You can contact this provider via phone number 3374942674 and fax number 3374942694. The mailing address for Second Avenue Mri Llc is 2770 3rd Ave, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Avenue Mri Llc |
|---|---|
| Address | 2770 3rd Ave, Lake Charles, Louisiana |
| Phone Number | 3374942674 |
| Fax Number | 3374942694 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Martinez Richard |
| Credentials | M.D. |
| Telephone Number | 3374942674 |
NPI Number Detail
| NPI Number | 1629174339 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2014-02-13 |
Provider Mailing Address Detail
| Address | 2770 3rd Ave |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706018994 |
| Phone Number | 3374942674 |
| Fax Number | 3374942694 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1448001 | LA | -- |
Post Comment/ Review Below
What is the Second Avenue Mri Llc's unique identification number?
The Second Avenue Mri Llc has been assigned the NPI (National Provider Identifier) Number 1629174339 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Second Avenue Mri Llc is located?
The Second Avenue Mri Llc is situated at the following address: 2770 3Rd Ave, Lake Charles, LA, 706018994.
What is Second Avenue Mri Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Second Avenue Mri Llc is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
When did the Second Avenue Mri Llc receive its 1629174339?
The Second Avenue Mri Llc was issued its 1629174339 on 2006-09-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Second Avenue Mri Llc most recently updated or revised?
The information pertaining to Second Avenue Mri Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-13.
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