Organization
CENTER FOR ORTHOPAEDICS AND SPINE LLC
Active
Parent organization
CENTER FOR ORTHOPAEDICS AND SPINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR ORTHOPAEDICS AND SPINE LLC
Authorized official
STEVEN S HALE MD (AUTHORIZED OFFICIAL/OWNER)
(337) 721-7236
Entity
Organization
Contact information
Practice address
1747 IMPERIAL BLVD STE B, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/23/2022
Last updated
04/16/2024
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