Organization
LAREDO MRI & IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR NEWTON LIGHTNER M.D. (PRESIDENT)
(956) 726-0501
Entity
Organization
Contact information
Practice address
9802 MCPHERSON RD, STE 108, LAREDO, TX 78045-6413
(956) 753-0800
Mailing address
9802 MCPHERSON RD, STE 108, LAREDO, TX 78045-6413
(956) 753-0800
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
R27389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26KK
BCBS
TX
Enumeration date
08/02/2006
Last updated
08/22/2020
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