Organization Name: | PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC |
NPI Number: | 1003045287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS H VREELAND (OPERATING MEMBER) |
Mailing Address: | 107 Kempton Dr Lafayette |
State: | LA US |
Postal Code: | 705086547 |
Phone Number: | 3377359505 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |