Christopher Morgan Graham
SECOND AVENUE MRI LLC


Address: 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Phone: 3374942674

Christopher Morgan Graham (NPI# 1427323856, PAC ID# 7214165661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1427323856
PAC ID by PECOS 7214165661
Professional Enrollment ID I20180522000286
Full Name Christopher Morgan Graham
Organization Legal Name SECOND AVENUE MRI LLC
Address 2770 3rd Ave
Suite 125
Lake Charles
LA 70601-8994
Phone Number 3374942674
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 2012
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 0749203610
Number of Group Practice Members 13
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190060 LAKE CHARLES MEMORIAL HOSPITAL
190050 BEAUREGARD MEMORIAL HOSPITAL
190027 CHRISTUS ST PATRICK HOSPITAL
190013 WEST CALCASIEU CAMERON HOSPITAL

Other Locations

Address Phone Organization
1601 Country Club Rd, Lake Charles, LA 70605-5325 3374397778 RADIOLOGY ASSOCIATES OF SOUTHWEST LOUISIANA
1701 Oak Park Blvd, Lake Charles, LA 70601-8911 3374943036 RADIOLOGY ASSOCIATES OF SOUTHWEST LOUISIANA
2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994 3374942674 SECOND AVENUE MRI LLC

Organization Information

Organization Legal Name SECOND AVENUE MRI LLC
Physicians 13

Physicians with the same organization

Name Specialty Organization Address
Richard L Martinez Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Donald A Woolridge Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Charles J Brdlik Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Adam D Olsan Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
David Wallace Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Jason J Braud Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Ibrahim Alshahrouri Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Michael D Walker Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Robert N Brown Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Charles A Lim Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994

Office Location

Street Address 2770 3RD AVE
SUITE 125
City LAKE CHARLES
State LA
Zip 70601-8994

Physicians in the same location

Name Specialty Organization Address
Amanda E Ellington General Surgery Lcms Surgical Associates of Southwest Lousiana, LLC 2770 3rd Ave, Suite 120, Lake Charles, LA 70601-7893
Leroy Fredericks Medical Oncology Swlhs Oncology, Inc. 2770 3rd Ave, Fl 2, Lake Charles, LA 70601-8994
Richard L Martinez Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Lisa Ianneillo Rubino Nurse Practitioner Lcms Neurosurgical Institute of Lake Charles LLC 2770 3rd Ave, Suite 345, Lake Charles, LA 70601-8994
Donald A Woolridge Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Charles J Brdlik Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
Peter W Karam Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Amanda V Burnett Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Jennifer Taylor Graham Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Adam D Olsan Diagnostic Radiology Second Avenue Mri LLC 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994
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Physicians in the same zip code

Name Specialty Organization Address
Nauman Qureshi Internal Medicine 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601
Susan B Bourgeois Ieyoub Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Haley Angelle Landry Nurse Practitioner Lcms Pulmonary Associates of Southwest Louisiana 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Karie Joy Savoy Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Ronald M Lewis Jr. Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Brian D Clements Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Cristian Romero Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Mark David Lafuria Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Louise M Becnel Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
William Gerard Hebert Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
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Competitor

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City LAKE CHARLES
Zip Code 70601
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty LAKE CHARLES + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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