MEDICAL CENTER DIAGNOSTICS LLC (NPI# 1487619797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487619797 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER DIAGNOSTICS LLC |
| Practice Address |
67250 Industry Lane Covington LA 70433 |
| Practice Telephone | 9858090000 |
| Practice Fax Number | 9858983827 |
| Mailing Telephone | 9858090000 |
| Mailing Fax Number | 9858983827 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL N PITTMAN (CEO OWNER) |
| Authorized Official Telephone | 9858090000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | F1152 | 01 |
| LA | BLUE CROSS | G1502 | 01 |
| LA | 1938934 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043358229 | Medical Center Diagnostics LLC | Clinic/Center | 67250 Industry Ln, Covington, LA 70433-8716 | 2007-02-01 |
| Street Address |
67250 INDUSTRY LANE |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588692685 | Michael Norton Pittman | Urology | 67250 Industry Lane, Suite B, Covington, LA 70433 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300208 | Tammy Jo Wooding | Radiology | 2175 Rolling Hills Dr, Covington, KY 41017-5155 | 2020-09-11 |
| 1225308554 | James Robert Willis | Radiology | 56 Riverdale Dr, Covington, LA 70433-4523 | 2012-01-03 |
| 1861724080 | Jennifer Chuang Daly | Radiology | 301 N Highway 190 Ste C2, Covington, LA 70433-5057 | 2010-02-12 |
| 1972579977 | Herbert Wayne Henry | Radiology | 75445 Downs Ave, Covington, LA 70435-6541 | 2006-02-28 |
| 1609848597 | Mt Pleasant Radiology Associates LLC | Radiology | 1118 Brown St Sw, Covington, GA 30014-2326 | 2006-02-03 |
| 1457350076 | North Shore Mri LLC | Radiology | 19300 N 4th St, Suite B, Covington, LA 70433-8720 | 2005-07-15 |
| 1538162060 | Roy A Kite | Radiology | 95 E Fairway Dr, Covington, LA 70433-7500 | 2005-05-30 |
| 1891798328 | Steven F Pflug | Radiology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2005-05-30 |
| 1841533437 | Ryan L Hebert | Radiology | 1000 Ochsner Blvd, Covington, LA 70433 | 2013-04-01 |
| 1760734685 | Pontchartrain Diagnostic Imaging LLC | Radiology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2012-10-03 |
| Find all providers in COVINGTON | ||||
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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.