LISA TEBAULT (NPI# 1689065880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689065880 |
Entity Type | Individual |
Full Name | LISA TEBAULT |
Practice Address |
11650 West Barrington Dr New Orleans LA 70128 |
Mailing Address |
Po Box 29561 New Orleans LA 70189-0561 |
Practice Telephone | 5042219531 |
Mailing Telephone | 5042219531 |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-03-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Street Address |
11650 WEST BARRINGTON DR |
City | NEW ORLEANS |
State | LA |
Zip Code | 70128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982098067 | Ultrasounds Unlimited | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11650 West Barrington Dr, New Orleans, LA 70128 | 2015-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033699152 | Delreil L Sanders | Case Manager/Care Coordinator | 7615 Forum Blvd, New Orleans, LA 70128 | 2018-08-17 |
1790278513 | Jenenne Coulon | Counselor | 11730 Morrison Rd, New Orleans, LA 70128 | 2018-06-07 |
1528559069 | Daniel Do | Dentist | 1096 I-10 Service Road, New Orleans, LA 70128 | 2018-05-21 |
1235635327 | Burton Transit LLC | Non-emergency Medical Transport (VAN) | 39 E Blue Ridge Ct, New Orleans, LA 70128 | 2018-04-05 |
1346744299 | Joyce Williams | Counselor | 15018 Curran Rd, New Orleans, LA 70128 | 2018-03-23 |
1366945925 | Letoyal Green | Case Manager/Care Coordinator | 7921 Bullard Avenue, Suite 2c, New Orleans, LA 70128 | 2018-03-09 |
1417458712 | Ekco Carter | Case Manager/Care Coordinator | 7540 W Sandy Cove Dr, New Orleans, LA 70128 | 2018-02-22 |
1194248823 | Brittany Reed | Non-emergency Medical Transport (VAN) | 4933 Pentland Dr, New Orleans, LA 70128 | 2017-07-25 |
1487176855 | Premier Lane Transportation | Non-emergency Medical Transport (VAN) | 14730 Beekman Road, New Orleans, LA 70128 | 2017-07-07 |
1952849085 | Emmar Mayberry | Counselor | 7551 Anne Marie Ct, New Orleans, LA 70128 | 2017-02-09 |
Find all providers in zip 70128 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982098067 | Ultrasounds Unlimited | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11650 West Barrington Dr, New Orleans, LA 70128 | 2015-03-26 |
1023342292 | Rapid Rays Mobile Xray Services,llc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2100 Mediamolle Dr, New Orleans, LA 70114-3436 | 2009-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602592 | Healthy Heart Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 119 E Main St Ste 200, Lafayette, LA 70501-6921 | 2020-06-08 |
1861011447 | Medlabs Express,inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2208a Bonaventure Ct, Alexandria, LA 71301-3374 | 2020-04-13 |
1861051831 | Jason Allen | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 120 Longfellow Dr, Lafayette, LA 70503-6611 | 2019-06-12 |
1417414426 | Palmetto Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 Creek Stone Dr, West Monroe, LA 71291-0709 | 2019-02-26 |
1619432382 | Prevail Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8644 Eunice Iota Hwy, Eunice, LA 70535-6749 | 2019-02-06 |
1023492832 | D.r. Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 319 Hedge Hill Cv, Calhoun, LA 71225-8710 | 2015-07-13 |
1982983276 | Local Portable Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 165 Rock Hill Ln, Noble, LA 71462-3036 | 2011-08-04 |
1588955009 | Vascular Testing of Acadiana | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 386 Roxsan Rd, Sunset, LA 70584-5165 | 2011-05-02 |
1437469004 | Mobile X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9376 Mansfield Rd, Suite B, Shreveport, LA 71118-3181 | 2010-10-18 |
1437476793 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2010-04-27 |
Find all providers with the same taxonomy |
City | NEW ORLEANS |
Zip Code | 70128 |
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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.