Organization Active NPI

Northeast Outpatient Radiology Services

Doing business as South Louisiana Outpatient Radiology Services

  • Radiology Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1093061145
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NORTHEAST OUTPATIENT RADIOLOGY SERVICES
Doing business as
South Louisiana Outpatient Radiology Services
Practice address
4545 Bluebonnet Blvd
Baton Rouge, LA 70809-5602
Phone
(561) 630-6277
Fax
(561) 630-6062
NPI assigned
Jul 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Ms. Donna Scroggins
Title
Coo
Phone
(561) 630-6277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4545 Bluebonnet Blvd
Baton Rouge, LA 70809-5602

Mailing address

1005 W Indiantown Rd
Suite 101
Jupiter, FL 33458-6834
Phone (561) 630-6277

Other names 1

  • South Louisiana Outpatient Radiology 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": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1093061145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W INDIANTOWN RD",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586834",
            "telephone_number": "561-630-6277",
            "fax_number": "561-630-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708095602",
            "telephone_number": "561-630-6277",
            "fax_number": "561-630-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OUTPATIENT RADIOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-630-6277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Louisiana Outpatient Radiology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 26, 2012; 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.