Organization · Type 2 NPI
Professional Radiology Network Tlc-Prn, LLC
Diagnostic Radiology Physician · Lafayette, LA
NPI number
1003045287
Active
Practice location
107 Kempton Dr
Lafayette, LA 70508-6547
Mailing address
4400A Ambassador Caffery Pkwy # 555
Lafayette, LA 70508-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1003045287
Professional Radiology Network Tlc-Prn, LLC's National Provider Identifier is 1003045287, issued on Jul 8, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lafayette, LA. The record was last updated on Apr 9, 2012.