Organization · Type 2 NPI
South Ryan Mri, LLC
Body Imaging Physician · Lake Charles, LA
NPI number
1376649061
Active
Practice location
1601 Country Club Rd
Lake Charles, LA 70605-5325
Fax (337) 433-4686
Mailing address
PO Box 3184
Lake Charles, LA 70602-3184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
About NPI 1376649061
South Ryan Mri, LLC's National Provider Identifier is 1376649061, issued on Sep 16, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 5, 2013.