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Second Avenue Mri Llc
Diagnostic Radiology Physician in Lake Charles, Louisiana
NPI 1629174339

Second Avenue Mri Llc is a Diagnostic Radiology Physician based in Lake Charles, LA and is specialized in Diagnostic Radiology. Second Avenue Mri Llc practices in Lake Charles, LA. The NPI Number for Second Avenue Mri Llc is 1629174339 and holds a License No. (Louisiana).

The current practice location address for Second Avenue Mri Llc is 2770 3Rd Ave, Lake Charles, LA and can be reached out via phone at 337-494-2674 and via fax at 337-494-2694.

Location: 2770 3Rd Ave, Lake Charles, LA, 70601-8994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629174339
Provider Name
Second Avenue Mri Llc
Credential
Provider Entity Type
Organization
Address
2770 3Rd Ave, Lake Charles, LA, 70601-8994
Phone Number
337-494-2674
Fax Number
337-494-2694
Provider Enumeration Date
09/16/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1448001 05 LA
institution
Provider Business Practice Location Address Details
Address
2770 3Rd Ave
City
Lake Charles
State
Louisiana
Zip
70601-8994
Phone Number
337-494-2674
Fax Number
337-494-2694
person
Provider Business Mailing Address Details
Address
2770 3Rd Ave
City
Lake Charles
State
Louisiana
Zip
70601-8994
Phone Number
337-494-2674
Fax Number
337-494-2694
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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