Provider Demographics
NPI:1225366206
Name:RADIOLOGY ASSOCIATES OF OPELOUSAS, LLP
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF OPELOUSAS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:LASTRAPES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-942-6883
Mailing Address - Street 1:539 E PRUDHOMME ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6499
Mailing Address - Country:US
Mailing Address - Phone:337-942-6883
Mailing Address - Fax:337-942-6883
Practice Address - Street 1:539 E PRUDHOMME ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6499
Practice Address - Country:US
Practice Address - Phone:337-942-6883
Practice Address - Fax:337-942-6883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty