Janice Lake is a Radiography in Mesquite, Texas. Janice Lake practices all healthcare services and medical treatments related to Radiography. The NPI Number for Janice Lake is 1053419150. The last update date is 2007-12-06.
Janice Lake's current location address is 4124 Gus Thomasson Road, Mesquite, Texas. You can contact this provider via phone number 9726820484 and fax number 2142215600. The mailing address for Janice Lake is 4124 Gus Thomasson Road, Mesquite, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janice Lake |
|---|---|
| Address | 4124 Gus Thomasson Road, Mesquite, Texas |
| Phone Number | 9726820484 |
| Fax Number | 2142215600 |
| Sole Proprietor | N |
| Credentials | TECH |
NPI Number Detail
| NPI Number | 1053419150 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-12-06 |
Provider Mailing Address Detail
| Address | 4124 Gus Thomasson Road |
|---|---|
| City | Mesquite |
| State | Texas (TX) |
| Post Code | 751502226 |
| Phone Number | 9726820484 |
| Fax Number | 2142215600 |
Provider's Primary Taxonomy Detail
| Speciality | Radiography |
|---|---|
| Taxonomy | 2471C3402X |
|
Definition: A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniq |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 459840 | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Janice Lake by the Centers for Medicare & Medicaid Services?
The Janice Lake has been issued the NPI (National Provider Identifier) 1053419150. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Janice Lake's facilities are situated?
The facilities of Janice Lake are physically located at the following address: 4124 Gus Thomasson Road, Mesquite, TX, 751502226.
What is Janice Lake's area of expertise and its corresponding taxonomy classification?
The Janice Lake's field of specialization is Radiography, and it falls under the taxonomy code 2471C3402X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1053419150 to Janice Lake?
The Centers for Medicare & Medicaid Services assigned the 1053419150 to Janice Lake on 2006-09-20.
When was the information regarding Janice Lake most recently updated?
The details pertaining to the Janice Lake, including its address, specialty, and other relevant information, were last refreshed on 2007-12-06.