NPI 1003045287
Professional Radiology Network Tlc-Prn, LLC
Practice location
- Address
- 107 Kempton Dr, Lafayette, LA 70508-6547
- Phone
- (337) 735-9505
- Mailing address
- 4400a Ambassador Caffery Pkwy # 555, Lafayette, LA 70508-6706
Authorised official
- Name
- Thomas H Vreeland
- Title
- Operating Member
- Phone
- (337) 735-9505
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1003045287
- Entity type
- Organization
- NPI issued
- 8 Jul 2009
- Record last updated
- 9 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.