PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC NPI 1003045287

Radiology (Diagnostic Radiology) in Lafayette, LA

NPI 1003045287 Organization Radiology Diagnostic Radiology

About PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC

Professional Radiology Network Tlc-prn, Llc is a provider established in Lafayette, Louisiana specializing in radiology (diagnostic radiology) . The NPI number of Professional Radiology Network Tlc-prn, Llc is 1003045287 and was assigned on July 2009. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Professional Radiology Network Tlc-prn, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Thomas H Vreeland Md (Operating Member)

NPI

1003045287

Provider NamePROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC
Provider Location Address107 KEMPTON DR LAFAYETTE, LA 70508
Provider Mailing Address4400A AMBASSADOR CAFFERY PKWY # 555 LAFAYETTE, LA 70508
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-08-2009
Last Update Date04-09-2012


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC
107 KEMPTON DR
LAFAYETTE, LA
ZIP 70508
Phone: (337) 735-9505

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Mailing Address

PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC
4400A AMBASSADOR CAFFERY PKWY # 555
LAFAYETTE, LA
ZIP 70508
Phone: (337) 735-9505



Authorized Official

Authorized Official Name THOMAS H VREELAND MD
Authorized Official TitleOPERATING MEMBER
Authorized Official Phone(337) 735-9505

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.