Organization Active NPI

La Radiology a Professional Medical Corporation

  • Mobile Radiology Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1073911939
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
MD14973 Issued in LA
Legal business name
LA RADIOLOGY A PROFESSIONAL MEDICAL CORPORATION
Practice address
6821 Fountain LN
Baton Rouge, LA 70809-1046
Phone
(337) 280-8648
NPI assigned
Dec 9, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Cheryl D. Randal Knatt, M.D.
Title
President
Phone
(337) 280-8648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X MD14973 LA Primary

Addresses

Primary practice location

6821 Fountain LN
Baton Rouge, LA 70809-1046

Mailing address

6821 Fountain LN
Baton Rouge, LA 70809-1046
Phone (337) 280-8648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1073911939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 FOUNTAIN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091046",
            "telephone_number": "337-280-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 FOUNTAIN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091046",
            "telephone_number": "337-280-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA RADIOLOGY A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "RANDAL KNATT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-280-8648",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "LA",
            "license": "MD14973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.