Organization · Type 2 NPI
Center for Orthopaedics and Spine LLC
Diagnostic Radiology Physician · Lake Charles, LA
NPI number
1104536648
Active
Practice location
1747 Imperial Blvd Ste B
Lake Charles, LA 70605-5362
Fax (337) 721-7237
Mailing address
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | None listed |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
| Diagnostic Ultrasound Physician | 2085U0001X | 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 1104536648
Center for Orthopaedics and Spine LLC's National Provider Identifier is 1104536648, issued on Nov 23, 2022. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 16, 2024.