Advanced Mri

LBN: Second Avenue Mri Llc
Advanced Mri is an health care organization with primary practice located at 2770 3Rd Ave Suite 125, Lake Charles LA 70601-8994. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Second Avenue Mri Llc can be contacted via phone (337) 494-2674, or through Martinez, Richard via phone (337) 494-2674.

Contact Information

Primary practice address
2770 3Rd Ave Suite 125 Lake Charles LA 70601-8994
Phone: (337) 494-2674
Fax: (337) 494-2694
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Richard Doctor of Medicine (MD)
Phone: (337) 494-2674

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1629174339
LBN Legal business name Second Avenue Mri Llc
DBA Doing business as Advanced Mri
Authorized official Martinez, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 13th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629174339 NPPES
Louisiana MEDICAID 1448001

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