Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Skocibusic, RTR

Individual provider Radiography Radiologic Technologist · NPI 1124962352

Ivan Skocibusic, RTR is a Radiography Radiologic Technologist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2026.

Licensed in
LA
In the registry since
2026

Practice location Address checks out

5552 Northwood South Rd
Shreveport, LA 71107-9263
Phone: (318) 205-2667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence 561226 (LA)

Record details

NPI number1124962352
Entity typeIndividual (Type 1)
GenderMale
Credentials RTR
Sole proprietorNo
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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