Active NPI
Open Air MRI of Louisiana LLC
- Diagnostic Radiology Physician
- Lafayette, LA
National Provider Identifier
1184600827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OPEN AIR MRI OF LOUISIANA LLC
- Practice address
- 501 W Saint Mary Blvd
Suite 108
Lafayette, LA 70506-4600 - Phone
- (337) 231-5775
- Fax
- (337) 231-5776
- NPI assigned
- Dec 15, 2005
- Last updated
- Jul 10, 2007
- 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
- James W. Holmes
- Title
- Chief Operating Officer
- Phone
- (337) 291-9161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
501 W Saint Mary Blvd
Suite 108
Lafayette, LA 70506-4600
Mailing address
501 W Saint Mary Blvd
Suite 108
Lafayette, LA 70506-4600
Phone (337) 231-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1443611 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
501 W Saint Mary Blvd
Ste 108
Lafayette, LA 70506
Phone (337) 231-5775
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Diagnostic Radiology Physician
- Lafayette, LA
- NPI 1235107624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1184600827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W SAINT MARY BLVD",
"address_2": "SUITE 108",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064600",
"telephone_number": "337-231-5775",
"fax_number": "337-231-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W SAINT MARY BLVD",
"address_2": "SUITE 108",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064600",
"telephone_number": "337-231-5775",
"fax_number": "337-231-5776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN AIR MRI OF LOUISIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "337-291-9161"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1443611",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.