Organization Active NPI

Pinnacle Diagnostic Services of Mississippi LLC

Doing business as Pinnacle Diagnostic Services

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Covington, LA
National Provider Identifier
1063741247
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
PINNACLE DIAGNOSTIC SERVICES OF MISSISSIPPI LLC
Doing business as
Pinnacle Diagnostic Services
Practice address
72108 Ramos Ave
Suite a
Covington, LA 70433-9501
Phone
(972) 834-6759
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Michael Gerhold, RT
Title
President/Ceo
Phone
(972) 834-6759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

72108 Ramos Ave
Suite a
Covington, LA 70433-9501

Mailing address

72108 Ramos Ave
Suite a
Covington, LA 70433-9501
Phone (972) 834-6759

Other names 1

  • Pinnacle Diagnostic Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1063741247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72108 RAMOS AVE",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339501",
            "telephone_number": "972-834-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72108 RAMOS AVE",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339501",
            "telephone_number": "972-834-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DIAGNOSTIC SERVICES OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "GERHOLD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-834-6759",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Diagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.