IndividualActive
Ivan Skocibusic, RT (R)
NPI 1124962352 · Radiography Radiologic Technologist · Shreveport, LA
Provider details
- NPI number
- 1124962352
- Entity type
- Individual
- Primary specialty
- Radiography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT (R)
- Sex
- Male
- Sole proprietor
- No
- License
- 561226 (LA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5552 Northwood South Rd
Shreveport, LA 71107-9263
Phone: (318) 205-2667
Approximate (ZIP-level) locationGet directions
Mailing address
5552 Northwood South Rd
Shreveport, LA 71107-9263
Registry dates
- Enumerated
- 2026-04-17
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.