BLUEBONNET IMAGING CENTER, LLC (NPI# 1942393699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942393699 |
| Entity Type | Organization |
| Organization Name | BLUEBONNET IMAGING CENTER, LLC |
| Practice Address |
4570 Bluebonnet Blvd. Suite B Baton Rouge LA 70809 |
| Mailing Address |
Po Box 14149 Baton Rouge LA 70898-4149 |
| Practice Telephone | 2252983223 |
| Practice Fax Number | 2252985474 |
| Mailing Telephone | 2252983223 |
| Mailing Fax Number | 2252985474 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | MS. TAMRA GAUTHIER (ADMINISTRATOR) |
| Authorized Official Telephone | 2259300060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1025666 | 05 |
| Street Address |
4570 BLUEBONNET BLVD. SUITE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578869368 | Baton Rouge Diagnostic Health | Clinic/Center | 8416 Cumberland Pl, Baton Rouge, LA 70806-6543 | 2011-01-27 |
| 1598807257 | La Mri, Inc | Clinic/Center | 4550 North Blvd, Suite 100, Baton Rouge, LA 70806-4013 | 2007-02-12 |
| 1912954520 | Central Imaging Center, LLC | Clinic/Center | 11424 Sullivan Rd, Bldg. B - Ste. C, Baton Rouge, LA 70818-3615 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568883122 | Palafox Leasing LLC | Clinic/Center | 42078 Veterans Ave Ste F, Hammond, LA 70403-1490 | 2013-12-30 |
| 1841556214 | Standup Open Mri Centers of La, LLC | Clinic/Center | 4349 Loveland St., Metairie, LA 70006 | 2012-04-10 |
| 1528294956 | South East Imaging, LLC | Clinic/Center | 39189 Oak St, Pearl River, LA 70452-5031 | 2009-05-29 |
| 1427262567 | St. Bernard Open Mri & Imaging Center LLC | Clinic/Center | 617 E Judge Perez Dr, Chalmette, LA 70043-5260 | 2007-05-09 |
| 1235259326 | Ascension Open Mri, LLC. | Clinic/Center | 2622 South Ruby Ave, Gonzales, LA 70737 | 2007-03-30 |
| 1134278328 | Magnolia Diagnostics Inc | Clinic/Center | 2700 Cadiz St, New Orleans, LA 70115-6930 | 2007-01-09 |
| 1639243967 | Natchitoches Parish Hospital Service District | Clinic/Center | 105 East Fifth Street, Natchitoches, LA 71457-2154 | 2006-11-20 |
| 1093825689 | Specialty Imaging L.L.C. | Clinic/Center | 111 Mcmillan Rd, West Monroe, LA 71291-5319 | 2006-08-30 |
| 1699737486 | Nydic Open Mri of America-lafayette, LLC | Clinic/Center | 600 Guilbeau Rd, Suite 6, Lafayette, LA 70506-8405 | 2006-04-05 |
| 1245229517 | Monroe Mri Ptrs | Clinic/Center | 501 Catalpa St, Monroe, LA 71201-7426 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on BLUEBONNET IMAGING CENTER, 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.