ASCENSION OPEN MRI, LLC.


Address: 2622 South Ruby Ave, Gonzales, LA 70737
Phone: 2254506125

ASCENSION OPEN MRI, LLC. (NPI# 1235259326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235259326
Entity Type Organization
Organization Name ASCENSION OPEN MRI, LLC.
Practice Address 2622 South Ruby Ave
Gonzales
LA 70737
Mailing Address Po Box 14149
Baton Rouge
LA 70898-4149
Practice Telephone 2254506125
Practice Fax Number 2254506327
Mailing Telephone 2254506125
Mailing Fax Number 2254506327
Enumeration Date 2007-03-30
Last Update Date 2015-11-23
Authorized Official Name MS. TAMRA GAUTHIER (ADMINISTRATOR)
Authorized Official Telephone 2259300060
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1029742 05

Office Location

Street Address 2622 SOUTH RUBY AVE
City GONZALES
State LA
Zip Code 70737

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1215453121 Michelle Fuller Harris Social Worker 39094 N Angelle Ct, Gonzales, LA 70737 2017-08-22
1215452529 Lani Litchfield Specialist/Technologist 13341 W. Mill Grove Dr, Gonzales, LA 70737 2017-08-08
1326569369 Tyler Joshua Turner Counselor 1923 South Edwards, Gonzales, LA 70737 2017-06-29
1518408046 Margaret Madere Social Worker 2827 S Ruby Street, Gonzales, LA 70737 2017-03-16
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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1528294956 South East Imaging, LLC Clinic/Center 39189 Oak St, Pearl River, LA 70452-5031 2009-05-29
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1134278328 Magnolia Diagnostics Inc Clinic/Center 2700 Cadiz St, New Orleans, LA 70115-6930 2007-01-09
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1942393699 Bluebonnet Imaging Center, LLC Clinic/Center 4570 Bluebonnet Blvd., Suite B, Baton Rouge, LA 70809 2006-10-02
1093825689 Specialty Imaging L.L.C. Clinic/Center 111 Mcmillan Rd, West Monroe, LA 71291-5319 2006-08-30
1699737486 Nydic Open Mri of America-lafayette, LLC Clinic/Center 600 Guilbeau Rd, Suite 6, Lafayette, LA 70506-8405 2006-04-05
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Competitor

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City GONZALES
Zip Code 70737

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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