Charles A Lim, MD | |
1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 | |
(337) 439-4706 | |
(337) 439-8110 |
Full Name | Charles A Lim |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1800 Ryan St, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588647499 | NPI | - | NPPES |
21035 | Other | LA | CDS |
300036292 | Other | RAILROAD MEDICARE | |
1930431 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 09086R (Louisiana) | Primary |
Entity Name | Radiology Associates Of Southwest Louisiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20050606000347 |
Mailing Address | Practice Location Address |
---|---|
Charles A Lim, MD 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 Ph: (337) 439-4706 | Charles A Lim, MD 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 Ph: (337) 439-4706 |
John R Romero Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Richard L Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
James G Maze, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2121 Fax: 337-494-2360 | |
Donald A Woolridge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Charles J Brdlik, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Adam D Olsan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Dr. David R Wallace Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St Ste 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 |