LRGHEALTHCARE (NPI# 1770976896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770976896 |
| Entity Type | Organization |
| Organization Name | LRGHEALTHCARE |
| Other Organization Name | LRGHEALTHCARE MOBILE IMAGING |
| Practice Address |
80 Highland St Laconia NH 03246-3235 |
| Mailing Address |
Po Box 678 Laconia NH 03247-0678 |
| Practice Telephone | 6035243211 |
| Mailing Telephone | 6035243211 |
| Mailing Fax Number | 6035277164 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | KEVIN W DONOVAN (PRESIDENT/ CEO) |
| Authorized Official Telephone | 6035243211 |
| Is Organization Subpart | Y |
| Parent Organization Name | LRGHEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| LRGHealthcare Mobile Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649611542 | Lrghealthcare | Psychiatric Unit | 15 Aiken Ave, Franklin, NH 03235-1259 | 2013-07-09 |
| 1841548054 | Lrghealthcare | Clinic/Center | 80 Highland St, Laconia, NH 03246-3235 | 2012-08-17 |
| 1265725170 | Lrghealthcare | Clinic/Center | 15 Aiken Ave, Franklin, NH 03235-1259 | 2011-05-25 |
| 1801189725 | Lrghealthcare | Clinic/Center | 80 Highland St, Laconia, NH 03246-3235 | 2011-05-25 |
| 1659663698 | Lrghealthcare | Clinical Medical Laboratory | 15 Aiken Ave, Franklin, NH 03235-1259 | 2011-05-10 |
| 1013209055 | Lrghealthcare | Clinical Medical Laboratory | 80 Highland St, Laconia, NH 03246-3235 | 2011-05-10 |
| 1467743427 | Lrghealthcare | Radiology | 14 Maple St, Suite 100, Gilford, NH 03249-6580 | 2011-04-26 |
| 1194016162 | Lrghealthcare | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2011-04-26 |
| 1649598012 | Lrghealthcare | Clinic/Center | 85 Spring St, Suite 302, Laconia, NH 03246-3169 | 2010-05-11 |
| 1861514176 | Lrghealthcare | Durable Medical Equipment & Medical Supplies | 80 Highland St, Laconia, NH 03246-3235 | 2007-04-06 |
| Street Address |
80 HIGHLAND ST |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875368 | Eric T Meyer | Anesthesiology | 80 Highland St, Laconia, NH 03246-3235 | 2005-07-15 |
| 1568007763 | Philip Andrew Woodbury Iv | Physical Therapy Assistant | 80 Highland St, Laconia, NH 03246-3235 | 2019-11-12 |
| 1023659273 | Cassiah Zimra Sahl | Speech-Language Pathologist | 80 Highland St, Laconia, NH 03246-3235 | 2019-09-30 |
| 1316405459 | Korissa Bailey | Dietitian, Registered | 80 Highland St, Laconia, NH 03246-3235 | 2019-03-07 |
| 1477028710 | Anne Morrissette | Physical Medicine & Rehabilitation | 80 Highland St, Laconia, NH 03246-3235 | 2018-10-12 |
| 1861919318 | Samantha Downes | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2017-08-25 |
| 1568984821 | Bipin Belbase | Internal Medicine | 80 Highland St, Laconia, NH 03246-3235 | 2017-07-08 |
| 1326583121 | Robin Flynn | Counselor | 80 Highland St, Laconia, NH 03246-3235 | 2017-01-03 |
| 1083158455 | Michael R Chicoine | Physician Assistant | 80 Highland St, Laconia, NH 03246-3235 | 2016-12-05 |
| 1902255938 | Joyce S Sylvester | Occupational Therapist | 80 Highland St, Laconia, NH 03246-3235 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| 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 |
|---|---|---|---|---|
| 1295106136 | Mmds of Boston | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 95 Eddy Rd, Suite 611, Manchester, NH 03102-3266 | 2015-10-19 |
| 1790308120 | Pdi Health Nh LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Tara Blvd, Nashua, NH 03062-2809 | 2020-05-20 |
| 1265054878 | Pdi Health Nh LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Tara Blvd Ste 200, Nashua, NH 03062-2809 | 2020-05-18 |
| 1275729089 | Imaging Diagnostics In Motion, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 83 Hanover St, Suite 1b, Manchester, NH 03101-2216 | 2007-09-15 |
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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.