Southwest Louisiana Imaging
LBN: South Ryan Mri, Llc
Southwest Louisiana Imaging is an health care organization with primary practice located at 1601 Country Club Rd , Lake Charles LA 70605-5325. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is the primary health care specialty.
South Ryan Mri, Llc can be contacted via phone (337) 439-7778, or through Brdlik, Charles J. via phone (337) 439-7778.
Contact Information
Primary practice address
1601 Country Club Rd
Lake Charles LA 70605-5325
Phone: (337) 439-7778
Fax: (337) 433-4686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1376649061 |
|---|---|
| LBN Legal business name | South Ryan Mri, Llc |
| DBA Doing business as | Southwest Louisiana Imaging |
| Authorized official | Brdlik, Charles J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Mar 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376649061 | NPPES |
| Louisiana | MEDICAID | 1445525 | |
| Louisiana | Other | DA6047 |
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