NPIMap

Organization Active NPI

Louisiana Pet Imaging of Alexandria, LLC

  • Radiology Clinic/Center
  • Alexandria, LA
National Provider Identifier
1093738478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
LA10218-L01 Issued in LA
Legal business name
LOUISIANA PET IMAGING OF ALEXANDRIA, LLC
Practice address
5419A Jackson Street Ext
Alexandria, LA 71303-2322
Phone
(318) 441-2226
Fax
(318) 441-2240
NPI assigned
Jul 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Henry Cochran
Title
Vice President
Phone
(318) 424-6486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X LA10218-L01 LA Primary

Addresses

Primary practice location

5419A Jackson Street Ext
Alexandria, LA 71303-2322

Mailing address

920 Pierremont Rd
Suite 411
Shreveport, LA 71106-2079
Phone (318) 424-6486

National Provider Directory

National Provider Directory

Locations

5419 Jackson St
#A
Alexandria, LA 71303
Phone (318) 441-2226

5419A Jackson Street Ext
Alexandria, LA 71303
Phone (318) 441-2226

920 Pierremont Rd
Ste 411
Shreveport, LA 71106

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093738478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PIERREMONT RD",
            "address_2": "SUITE 411",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062079",
            "telephone_number": "318-424-6486",
            "fax_number": "318-424-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419A JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032322",
            "telephone_number": "318-441-2226",
            "fax_number": "318-441-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PET IMAGING OF ALEXANDRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "318-424-6486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "LA",
            "license": "LA10218-L01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.