Active NPI
Acadiana Imaging and Diagnostics
- Clinical Medical Laboratory
- Eunice, LA
National Provider Identifier
1114976248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ACADIANA IMAGING AND DIAGNOSTICS
- Practice address
- 711 E Laurel Ave
Ste D
Eunice, LA 70535-3515 - Phone
- (337) 457-2673
- Fax
- (337) 457-2617
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Benjamin Ware, M.D.
- Title
- Owner
- Phone
- (337) 457-8040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
711 E Laurel Ave
Ste D
Eunice, LA 70535-3515
Mailing address
PO Box 1288
Jennings, LA 70546-1288
Phone (337) 824-4403
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114976248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705461288",
"telephone_number": "337-824-4403",
"fax_number": "337-824-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E LAUREL AVE",
"address_2": "STE D",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353515",
"telephone_number": "337-457-2673",
"fax_number": "337-457-2617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADIANA IMAGING AND DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WARE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-457-8040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eunice, 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.