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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.