Organization Active NPI

Specialty Imaging L.L.C.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • West Monroe, LA
National Provider Identifier
1093825689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SPECIALTY IMAGING L.L.C.
Practice address
111 McMillan Rd
West Monroe, LA 71291-5319
Phone
(318) 387-2235
Fax
(318) 388-4334
NPI assigned
Aug 30, 2006
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. Ford G Jacka
Title
Business Manager
Phone
(318) 387-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

111 McMillan Rd
West Monroe, LA 71291-5319

Mailing address

111 McMillan Rd
West Monroe, LA 71291-5319
Phone (318) 387-2235

National Provider Directory

National Provider Directory

Locations

111 McMillan Rd
West Monroe, LA 71291
Phone (318) 387-2235

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093825689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915319",
            "telephone_number": "318-387-2235",
            "fax_number": "318-388-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915319",
            "telephone_number": "318-387-2235",
            "fax_number": "318-388-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY IMAGING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKA",
        "authorized_official_first_name": "FORD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "318-387-2235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, 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.