NPIMap

Organization Active NPI

Outpatient Diagnostic Imaging

  • Radiology Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1124292115
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
3780 Issued in LA
Legal business name
OUTPATIENT DIAGNOSTIC IMAGING
Practice address
3101 Lake St
Lake Charles, LA 70601-8337
Phone
(337) 515-2674
Fax
(337) 616-8161
NPI assigned
Apr 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Authorized official

Name
Ms. Nedra Annette Carrier, BSRT,R,M,RDMS,RVS
Title
Owner
Phone
(337) 515-2674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 3780 LA Primary

Addresses

Primary practice location

3101 Lake St
Lake Charles, LA 70601-8337

Mailing address

PO Box 1943
Lake Charles, LA 70602-1943
Phone (337) 515-2674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1124292115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021943",
            "telephone_number": "337-515-2674",
            "fax_number": "337-616-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018337",
            "telephone_number": "337-515-2674",
            "fax_number": "337-616-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-515-2674",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSRT,R,M,RDMS,RVS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "LA",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.