MAG LLC (NPI# 1295911527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295911527 |
| Entity Type | Organization |
| Organization Name | MAG LLC |
| Other Organization Name | NEURO DIAGNOSTIC ASSOCIATES |
| Practice Address |
11737 Wentling Avenue Suite A Baton Rouge LA 70816-6053 |
| Mailing Address |
8738 Grand View Drive Baton Rouge LA 70809-5230 |
| Practice Telephone | 2254137375 |
| Practice Fax Number | 2252081400 |
| Mailing Telephone | 2254137375 |
| Mailing Fax Number | 2252081400 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2010-04-08 |
| Authorized Official Name | BRUCE GRIZZAFFI (CEO/PARTNER) |
| Authorized Official Telephone | 2254137375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| NEURO DIAGNOSTIC ASSOCIATES | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MAG LLC | 935 S Nectorine St, Cornelius, OR 97113 |
| Oregon Corporations, Companies and Business Names | MAG LLC | 605 N 10th Ave, Cornelius, OR 97113 |
| Virginia Business Entities | MAG LLC | 678 Rappahannock Dr, Po Box 5, White Stone, Virginia 22578 |
| Street Address |
11737 WENTLING AVENUE SUITE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235470006 | Sleep Scores, LLC | Physiological Laboratory | 19263 Chardonnay Ave, Baton Rouge, LA 70817-7670 | 2013-03-04 |
| 1952626509 | Vital Health Screenings, LLC | Physiological Laboratory | 18448 Wildlife Way Dr, Baton Rouge, LA 70817-3992 | 2010-04-06 |
| 1679683403 | Vascular Associates Laboratory | Physiological Laboratory | 8595 Picardy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1174577860 | Accumed of South Louisiana, L.L.C. | Physiological Laboratory | 7385 Alberta Dr, Baton Rouge, LA 70808-4102 | 2006-05-19 |
| 1245289222 | Diagnostic Health Corporation | Physiological Laboratory | 7703 Picardy Ave, Baton Rouge, LA 70808-4338 | 2006-05-08 |
| 1659320612 | Diagnostic Health Corporation | Physiological Laboratory | 8416 Cumberland Pl, Baton Rouge, LA 70806-6543 | 2006-05-08 |
| 1942284005 | The Vascular Lab LLC | Physiological Laboratory | 7648 Picardy Ave, Suite 100, Baton Rouge, LA 70808-4694 | 2005-12-02 |
| 1528313111 | Alpha One Imaging, LLC | Physiological Laboratory | 16511 Highland Club Ave, Baton Rouge, LA 70817-7020 | 2012-07-19 |
| 1023384393 | Vascular Specialty Center Lab | Physiological Laboratory | 8888 Summa Ave, Cardiology Tower 3rd Fl Ste B, Baton Rouge, LA 70809-3720 | 2012-03-30 |
| 1669618658 | Gulf Coast Research, LLC | Physiological Laboratory | 7049 Perkins Rd, Baton Rouge, LA 70808-4320 | 2008-12-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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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.