CENTRAL LOUISIANA IMAGING CENTER LLC (NPI# 1295733616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295733616 |
| Entity Type | Organization |
| Organization Name | CENTRAL LOUISIANA IMAGING CENTER LLC |
| Practice Address |
3704 North Blvd Suite 1 Alexandria LA 71301 |
| Practice Telephone | 3184428399 |
| Practice Fax Number | 3184489897 |
| Mailing Telephone | 3184428399 |
| Mailing Fax Number | 3184489897 |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | ALFED AMEEN MANSOUR JR. (DIRECTOR) |
| Authorized Official Telephone | 3184428399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1447226 | 05 |
| Street Address |
3704 NORTH BLVD SUITE 1 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006535 | Alfred A Mansour Jr. | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2005-07-08 |
| 1952857807 | Marjorie Shanks | Physician Assistant | 3704 North Blvd, Alexandria, LA 71301-3658 | 2016-08-31 |
| 1922413905 | Robert Lewis Meadows | Physician Assistant | 3704 North Blvd, Ste C, Alexandria, LA 71301-3658 | 2014-06-27 |
| 1679913115 | Tiffany Teal Williams | Registered Nurse | 3704 North Blvd, Suite C, Alexandria, LA 71301-3658 | 2013-06-28 |
| 1942513288 | Daniel Ryan Bonifield | Radiology | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3658 | 2010-07-15 |
| 1629176615 | Garett G Guilbeau | Physician Assistant | 3704 North Blvd, Suite C, Alexandria, LA 71301-3658 | 2006-09-21 |
| 1669405098 | Christian Anthony Scheuermann | Radiology | 3704 North Blvd, Suite 1, Alexandria, LA 71301 | 2006-07-09 |
| 1447206537 | Alexandria Neurosurgical Clinic Inc | Specialist | 3704 North Blvd, Suite C, Alexandria, LA 71301-3606 | 2006-05-26 |
| 1992767404 | William David Long | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2006-04-03 |
| 1659357598 | Robert Doyle Harvey | Physician Assistant | 3704 North Blvd, Suite C, Alexandria, LA 71301-3606 | 2005-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
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| 1093738478 | Louisiana Pet Imaging of Alexandria, LLC | Clinic/Center | 5419a Jackson Street Ext, Alexandria, LA 71303-2322 | 2006-07-26 |
| 1861776510 | Unitedrads Imaging, LLC | Clinic/Center | 5249 Duke St, Suite 400, Alexandria, VA 22304-2926 | 2011-09-29 |
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| 1760777866 | Digital Imaging Solutions, LLC | Clinic/Center | 2340 S Range Ave, Denham Springs, LA 70726-5216 | 2011-06-16 |
| 1659664480 | Crowley Cardiac Wellness LLC | Clinic/Center | 1113 E Northern Ave, Crowley, LA 70526-3035 | 2011-05-26 |
| 1811189947 | Physicians Imaging - Houma, LLC | Clinic/Center | 132 Valhi Lagoon Crossing, Houma, LA 70360 | 2007-08-13 |
| 1942341748 | Houma Medical Imaging, LLC | Clinic/Center | 316 Civic Center Drive, Houma, LA 70360 | 2007-02-12 |
| 1568556256 | Northwest Imaging, LLC | Clinic/Center | 1460 E. Bert Kouns Industrial Loop, Suite 708, Shreveport, LA 71105 | 2006-10-03 |
| 1437172822 | Louisiana Pet/ct Imaging of Lake Charles. LLC | Clinic/Center | 1750 Ryan St, Lake Charles, LA 70601-6050 | 2006-07-26 |
| 1255360558 | Morehouse Computerized Imaging | Clinic/Center | 416 Gunby Ave, Bastrop, LA 71220-4406 | 2006-07-01 |
| 1598791188 | Ogh Imaging, LLC | Clinic/Center | 1341 1-49 S. Service Rd, Grand Coteau, LA 70541 | 2006-06-24 |
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| City | ALEXANDRIA |
| Zip Code | 71301 |
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| 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.