South Ryan Mri, Llc in Lake Charles - Diagnostic Radiology
South Ryan Mri, Llc - NPI 1376649061
South Ryan Mri, Llc is a Diagnostic Radiology in Lake Charles, Louisiana. South Ryan Mri, Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. 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 |
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Address | Po Box 3184, Lake Charles, Louisiana |
Phone Number | 3374397778 |
Fax Number | 3374334686 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Brdlik J. Charles |
Credentials | M.D. |
Telephone Number | 3374397778 |
NPI Number Detail
NPI Number | 1376649061 |
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Provider Enumeration Date | 2006-09-16 |
Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
Address | Po Box 3184 |
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City | Lake Charles |
State | Louisiana (LA) |
Post Code | 706023184 |
Phone Number | 3374397778 |
Fax Number | 3374334686 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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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 |
---|---|---|---|
1445525 | LA | -- | |
DA6047 | LA | RAILROAD MEDICARE |
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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 Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
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.