AMERICAN DIAGNOSTIC TECHNOLOGIES, LLC (NPI# 1952555161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952555161 |
| Entity Type | Organization |
| Organization Name | AMERICAN DIAGNOSTIC TECHNOLOGIES, LLC |
| Practice Address |
12133 Industriplex Blvd Baton Rouge LA 70809-5129 |
| Practice Telephone | 2252932276 |
| Practice Fax Number | 2257564556 |
| Mailing Telephone | 2252932276 |
| Mailing Fax Number | 2257564556 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | MR. DAVID P. MELANCON (CFO) |
| Authorized Official Telephone | 2257565239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
12133 INDUSTRIPLEX BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558340083 | Southern Medical Holding Corporation | Spec/Tech, Cardiovascular | 12133 Industriplex Blvd, Baton Rouge, LA 70809-5129 | 2006-01-12 |
| 1215009436 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 12133 Industriplex Blvd, Baton Rouge, LA 70809-5129 | 2006-11-14 |
| 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 | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235470006 | Sleep Scores, LLC | Physiological Laboratory | 19263 Chardonnay Ave, Baton Rouge, LA 70817-7670 | 2013-03-04 |
| 1952626509 | Vital Health Screenings, LLC | Physiological Laboratory | 18448 Wildlife Way Dr, Baton Rouge, LA 70817-3992 | 2010-04-06 |
| 1295911527 | Mag LLC | Physiological Laboratory | 11737 Wentling Avenue, Suite A, Baton Rouge, LA 70816-6053 | 2008-01-16 |
| 1679683403 | Vascular Associates Laboratory | Physiological Laboratory | 8595 Picardy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1174577860 | Accumed of South Louisiana, L.L.C. | Physiological Laboratory | 7385 Alberta Dr, Baton Rouge, LA 70808-4102 | 2006-05-19 |
| 1245289222 | Diagnostic Health Corporation | Physiological Laboratory | 7703 Picardy Ave, Baton Rouge, LA 70808-4338 | 2006-05-08 |
| 1659320612 | Diagnostic Health Corporation | Physiological Laboratory | 8416 Cumberland Pl, Baton Rouge, LA 70806-6543 | 2006-05-08 |
| 1942284005 | The Vascular Lab LLC | Physiological Laboratory | 7648 Picardy Ave, Suite 100, Baton Rouge, LA 70808-4694 | 2005-12-02 |
| 1528313111 | Alpha One Imaging, LLC | Physiological Laboratory | 16511 Highland Club Ave, Baton Rouge, LA 70817-7020 | 2012-07-19 |
| 1023384393 | Vascular Specialty Center Lab | Physiological Laboratory | 8888 Summa Ave, Cardiology Tower 3rd Fl Ste B, Baton Rouge, LA 70809-3720 | 2012-03-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.