Organization · Type 2 NPI
Outpatient Diagnostic Imaging
Radiology Clinic/Center · Lake Charles, LA
NPI number
1124292115
Active
Practice location
3101 Lake St
Lake Charles, LA 70601-8337
Fax (337) 616-8161
Mailing address
PO Box 1943
Lake Charles, LA 70602-1943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | 3780 (LA) |
Radiology Clinic/Center: Definition to come...
Another provider at this address
Other radiology clinic/center providers in Lake Charles
- Louisiana Pet/ct Imaging of Lake Charles. LLCRadiology Clinic/Center Lake Charles, LA NPI 1437172822
- Imperial HealthRadiology Clinic/Center Lake Charles, LA NPI 1750622098
- Southwest Louisiana Hospital Association IncRadiology Clinic/Center Lake Charles, LA NPI 1790531291
- Dynamic Spinal Imaging of Swla, LLCRadiology Clinic/Center Lake Charles, LA NPI 1972051548
About NPI 1124292115
Outpatient Diagnostic Imaging's National Provider Identifier is 1124292115, issued on Apr 21, 2008. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 21, 2008.