Organization Active NPI

Professional Radiology Network TLC-PRN, LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1003045287
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC
Practice address
107 Kempton Dr
Lafayette, LA 70508-6547
Phone
(337) 735-9505
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas H Vreeland, MD
Title
Operating Member
Phone
(337) 735-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

107 Kempton Dr
Lafayette, LA 70508-6547

Mailing address

4400A Ambassador Caffery Pkwy # 555
Lafayette, LA 70508-6706
Phone (337) 735-9505

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1003045287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400A AMBASSADOR CAFFERY PKWY # 555",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086706",
            "telephone_number": "337-735-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KEMPTON DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086547",
            "telephone_number": "337-735-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "VREELAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPERATING MEMBER",
        "authorized_official_telephone_number": "337-735-9505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.