Organization Active NPI

Open Air MRI of Louisiana LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1184600827
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1443611MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.