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Professional Radiology Network Tlc-Prn, LLC

Radiology, Diagnostic Radiology in Lafayette, LA. Organization (NPI-2).

NPI number1003045287
StatusActive
Last updated in NPPESApr 9, 2012

Details

NPI
1003045287
Entity type
Organization (NPI-2)
Legal business name
Professional Radiology Network Tlc-Prn, LLC
Organization subpart
No
Enumeration date
Jul 8, 2009
Last updated
Apr 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

107 Kempton Dr
Lafayette, LA 70508-6547

Phone 337-735-9505

Mailing address

4400a Ambassador Caffery Pkwy # 555
Lafayette, LA 70508-6706

Phone 337-735-9505

Authorized official

Thomas H Vreeland
Operating Member
3377359505

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