Radiologic-on-Site, LLC

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

359485 Issued in LA

Legal business name

RADIOLOGIC-ON-SITE, LLC

Practice address

3909 Ambassador Caffery Pkwy
Suite G-2
Lafayette, LA 70503-5280

Phone

(337) 456-3586

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Joshua A Pellerin

Title

President

Phone

(337) 456-3586

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1154574887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52108",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052108",
            "telephone_number": "337-456-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE G-2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035280",
            "telephone_number": "337-456-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC-ON-SITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "PELLERIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-456-3586"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "LA",
            "license": "359485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.