NPIMap

Organization Active NPI

Acadiana Radiology Group, Apmc

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1013960160
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ACADIANA RADIOLOGY GROUP, APMC
Practice address
611 Saint Landry St
Lafayette, LA 70506-4627
Phone
(337) 289-2180
Fax
(337) 289-2677
NPI assigned
May 18, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Victor H Gunderson Jr., M.D.NPI 1407800824
Title
Client Support Rep/Credentialing
Phone
(337) 289-2180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

611 Saint Landry St
Lafayette, LA 70506-4627

Mailing address

PO Box 52545
Lafayette, LA 70505-2545
Phone (337) 289-2180

National Provider Directory

National Provider Directory

Locations

204 Energy Pkwy
Spc Hosp
Lafayette, LA 70508
Phone (337) 261-1618

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1013960160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52545",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052545",
            "telephone_number": "337-289-2180",
            "fax_number": "337-289-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064627",
            "telephone_number": "337-289-2180",
            "fax_number": "337-289-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA RADIOLOGY GROUP, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLIENT SUPPORT REP/CREDENTIALING",
        "authorized_official_telephone_number": "337-289-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.