Acadiana Imaging Services LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ACADIANA IMAGING SERVICES LLC

Practice address

1025 Kaliste Saloom Rd Ste 101
Lafayette, LA 70508-4963

Phone

(337) 237-3424

NPI assigned

Dec 29, 2020

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Gandy

Title

Coo

Phone

(337) 289-7743

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Acadiana Imaging Services LLC

  • Radiology Clinic/Center
  • Lafayette, LA
  • NPI 1710756911

  O20210126000316, O20211208000974

  Same enrollment

Tax ID family

Acadiana Imaging Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acadiana Imaging Services LLC

  • Radiology Clinic/Center
  • Lafayette, LA
  • NPI 1710756911
  NPD tax ID

Locations

Practitioners 16

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.

• Gerard A. Ballanco Jr., M.D.

  • Diagnostic Radiology Physician
  • Opelousas, LA
  • NPI 1053330779
  NPD
• Patrick Stephen Boyle, MD

  • Diagnostic Radiology Physician
  • New Orleans, LA
  • NPI 1336320365
  NPD
• Megan Elizabeth Daigle, MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1457592420
  NPD
• Megan Christine Fitzpatrick, MD

  • Diagnostic Radiology Physician
  • Crowley, LA
  • NPI 1336464270
  NPD
• Jeffrey Douglas Fontenot, MD

  • Internal Medicine Physician
  • Broussard, LA
  • NPI 1346744570
  NPD
• Madelaine Fahrmann Fontenot, MD

  • Internal Medicine Physician
  • Broussard, LA
  • NPI 1326542556
  NPD
• Matthew J Grant, MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1902010093
  NPD
• Jamie Perry Joseph, MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1831357375
  NPD
• Jeffrey J Laborde

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1093752321
  NPD
• Jeremy J Laborde, MD

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1689884199
  NPD
• Kirk Philip Langheinz, M.D.

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1912264110
  NPD
• Stacy L Lee, MD

  • Diagnostic Radiology Physician
  • Southlake, TX
  • NPI 1225232309
  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1104413806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 KALISTE SALOOM RD STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084963",
            "telephone_number": "337-703-6400",
            "fax_number": "337-703-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 KALISTE SALOOM RD STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084963",
            "telephone_number": "337-237-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "337-289-7743"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Acadiana Home Care Solutions
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• Acadiana Hyperbarics, LTD
• Acadiana Id Associates, LLC
• Acadiana Imaging Services LLC
• Acadiana Infectious Diseases a Professional Medical Corporation
• Acadiana Intervention, LLC
• Acadiana Long Term Care LLC
• Acadiana Maternal Fetal Medicine Apmc

• Radiology Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Radiology Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.