Tyare Standberry, RDMS RVT
Radiology, Diagnostic Ultrasound in Hammond, LA. Individual provider (NPI-1).
NPI number1215559596
StatusActive
Last updated in NPPESMay 10, 2020
Details
- NPI
- 1215559596
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tyare Standberry
- Credential
- RDMS RVT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2020
- Certification date
- May 10, 2020
- Last updated
- May 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085U0001X | Radiology, Diagnostic Ultrasound | 164230 | LA | Yes |
Other names
- Tyare Standberry (Other Name)
Practice location
15790 Paul Vega MD DrHammond, LA 70403-1436
Phone 985-345-2700
Mailing address
1049 Quail Ridge DrMcComb, MS 39648-5509
Phone 601-810-8295
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