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SOUTH RYAN MRI LLC NPI 1376649061


NPI Information

NPI: 1376649061
Provider Name: SOUTH RYAN MRI, LLC

Doing Business As: SOUTHWEST LOUISIANA IMAGING

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
1601 COUNTRY CLUB RD
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 439-7778
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SOUTH RYAN MRI, LLC is a body imaging radiology in Lake Charles, LA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. SOUTH RYAN MRI, LLC NPI is 1376649061. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Southwest Louisiana Imaging.

The provider's business location address is:

1601 COUNTRY CLUB RD
LAKE CHARLES, LA
ZIP 70605-325
Phone: (337) 439-7778
Fax: (337) 433-4686

The provider's authorized official is Charles J. Brdlik .
The authorized official title is Medical Director and has the following contact phone number (337) 439-7778.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 3/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
22085B0100XRadiologyBody ImagingYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA6047OTHERLOUISIANARAILROAD MEDICARE
25CG98MEDICARE UPIN
31445525MEDICAIDLOUISIANA
4=========0OTHERLOUISIANABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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