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LOUISIANA PET/CT IMAGING OF LAKE CHARLES. LLC NPI 1437172822


NPI Information

NPI: 1437172822
Provider Name: LOUISIANA PET/CT IMAGING OF LAKE CHARLES. LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
831 LAKE SHORE DR
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 433-3001
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LOUISIANA PET/CT IMAGING OF LAKE CHARLES. LLC is a radiology clinic center in Lake Charles, LA. LOUISIANA PET/CT IMAGING OF LAKE CHARLES. LLC NPI is 1437172822. The provider is registered as an organization entity type.

The provider's business location address is:

831 LAKE SHORE DR
LAKE CHARLES, LA
ZIP 70601-290
Phone: (337) 433-3001
Fax: (337) 433-0540

The provider's authorized official is John Stagg .
The authorized official title is Ceo and has the following contact phone number (225) 952-9141.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/25/2022.


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
1261QR0200XClinic/CenterRadiologyLA 10292-L01LOUISIANAYes

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
12418459MEDICAIDLOUISIANA

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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