IMAGING CENTER OF LOUISIANA LLC (NPI# 1801895578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801895578 |
| Entity Type | Organization |
| Organization Name | IMAGING CENTER OF LOUISIANA LLC |
| Practice Address |
8338 Summa Ave Suite 100 Baton Rouge LA 70809-3669 |
| Practice Telephone | 2257618988 |
| Practice Fax Number | 2257618940 |
| Mailing Telephone | 2257618988 |
| Mailing Fax Number | 2257618940 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | JAMES W. HOLMES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3372919161 |
| 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 | 1442216 | 05 |
| Street Address |
8338 SUMMA AVE SUITE 100 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669703948 | Elise S Kaufman | Speech-Language Pathologist | 8338 Summa Ave, Suite 500, Baton Rouge, LA 70809-3669 | 2010-01-26 |
| 1710066329 | Col Management LLC | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2006-11-03 |
| 1689751224 | Louisiana Neurologic Consultants, Inc. | Psychiatry & Neurology | 8338 Summa Ave, Ste # 500, Baton Rouge, LA 70809-3669 | 2006-11-01 |
| 1821044025 | Gregory Ward | Physical Medicine & Rehabilitation | 8338 Summa Ave, Suite 500, Baton Rouge, LA 70809-3669 | 2006-05-26 |
| 1780637223 | Louisiana Institute of Physical Medicine & Family Practice | Physical Medicine & Rehabilitation | 8338 Summa Ave, Ste 500, Baton Rouge, LA 70809-3669 | 2006-05-18 |
| 1356330443 | Curtis R Partington | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-10-20 |
| 1922097021 | Gary B Lum | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-10-20 |
| 1871582981 | Victor A Mccoy | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-10-20 |
| 1811997125 | Radiology Specialists LLC | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1659575173 | John Grezaffi Jr. | Radiology | 7887 Picardy Ave, Baton Rouge, LA 70809-3534 | 2007-06-11 |
| 1144300666 | Chester Chattin Coles Jr. | Radiology | 5937 Goodwood Ave, Baton Rouge, LA 70806-7308 | 2006-10-17 |
| 1366469884 | Cheryl D Randal Knatt | Radiology | 6821 Fountain Ln, Baton Rouge, LA 70809-1046 | 2006-07-17 |
| 1922041334 | Jacques A De La Bretonne | Radiology | 5422 Dijon Dr, Baton Rouge, LA 70808-4315 | 2006-06-14 |
| 1841270592 | Keith Robert Gibson | Radiology | 5000 Hennessey Blvd, Baton Rouge, LA 70808 | 2006-01-19 |
| 1326027632 | Michael Lynn Bruce | Radiology | 8230 Summa Ave Ste C, Baton Rouge, LA 70809-3421 | 2006-01-13 |
| 1891793188 | Cecil Noel Bankston Jr. | Radiology | 4841 Woodlake Dr, Baton Rouge, LA 70817-1833 | 2005-07-11 |
| 1558780940 | Maverick Joseph Leblanc | Radiology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2014-04-14 |
| 1700220977 | Lisa Katherine Harris | Radiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2013-04-18 |
| 1285976084 | Andrew Claiborne Matthews | Radiology | 8585 Picardy Ave, Baton Rouge, LA 70809-3748 | 2013-03-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on IMAGING CENTER OF LOUISIANA LLC.
| 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.