SECOND AVENUE MRI LLC NPI 1629174339

NPI Information

SECOND AVENUE MRI LLC is a diagnostic radiology radiology in Lake Charles, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SECOND AVENUE MRI LLC NPI is 1629174339. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Mri.

The provider's business location address is:

2770 3RD AVE
SUITE 125
LAKE CHARLES, LA
ZIP 70601-994
Phone: (337) 494-2674
Fax: (337) 494-2694

The provider's authorized official is Richard Martinez .
The authorized official title is President and has the following contact phone number (337) 494-2674.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/13/2014.

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:

Other Identifiers

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