MR. CALVIN DALE VIDRINE CRA RJ RN
NPI 1639122195
Radiology - Diagnostic Radiology in Opelousas, LA

Active since May 18, 2006
174 GRANT RD, OPELOUSAS, LA 70570(337) 594-9637(337) 948-4556 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Calvin Dale Vidrine Cra Rj Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CALVIN DALE VIDRINE CRA RJ RN (NPI 1639122195) is an individual diagnostic radiology provider in Opelousas, Louisiana, licensed in Louisiana (10041005) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1639122195
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. CALVIN DALE VIDRINECredential: CRA RJ RN
Location Address174 GRANT RDOpelousas, LA 70570-0720
Mailing AddressPo Box 1939Opelousas, LA 70571-1939 · (337) 942-1915 · Fax (337) 942-1990
Fax(337) 948-4556
Sole ProprietorYes
Enumeration DateMay 18, 2006
Last NPPES UpdateFebruary 29, 2012
NPI 1639122195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in LA · 10041005
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
174 GRANT RD, Opelousas, LA 70570

Other Identifiers 4

Other2000777340LA · Bcbs
Medicaid1664669LA
Medicare PIN19824LA
Medicare ID-Type Unspecified5CA29LA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
174 GRANT RD
OPELOUSAS, LA 70570
Radiology (Diagnostic Radiology)
174 GRANT RD
OPELOUSAS, LA 70570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvin Vidrine's NPI number?

The NPI number for Calvin Vidrine is 1639122195. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Calvin Vidrine located?

Calvin Vidrine practices at 174 Grant Rd, Opelousas, LA 70570. The listed phone number is (337) 594-9637.

What is Calvin Vidrine's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Calvin Vidrine was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.