Jab Rad, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

018747 Issued in LA

Legal business name

JAB RAD, LLC

Practice address

5201 Westbank Expy
Suite 215
Marrero, LA 70072-2939

Phone

(504) 347-1333

Fax

(504) 347-4755

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Jessica A Borne, M.D.NPI 1073535852

Title

Managing Member

Phone

(504) 347-1333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Borne, MD

  • Diagnostic Radiology Physician
  • Houma, LA
  • NPI 1073535852
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1104945930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700040686",
            "telephone_number": "504-347-1333",
            "fax_number": "504-347-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WESTBANK EXPY",
            "address_2": "SUITE 215",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722939",
            "telephone_number": "504-347-1333",
            "fax_number": "504-347-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAB RAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "504-347-1333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "018747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie Irvin, PT, DPT
• Thomas M Irwin Jr., MD
• Michael Edward Isabelle, MD
• Gerard M Ische de Gruiter
• Aurlisa Courtney Isom, LMSW
• Mohammad Jabr, PHARMD
• Sharon Jacks-Libby, RD, LDN
• Danielle Jackson
• Deion Jackson, APRN-CNP
• Glenisha Jackson

• Diagnostic Radiology Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.