Organization Active NPI

Ouachita Medical Imaging LLC

  • Radiology Clinic/Center
  • Monroe, LA
National Provider Identifier
1194760264
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
OUACHITA MEDICAL IMAGING LLC
Practice address
2008A Louisville Ave
Monroe, LA 71201-6121
Phone
(318) 398-2969
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Jeff Sylvester
Title
President
Phone
(318) 398-2969

Specialties & licenses 1

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

Addresses

Primary practice location

2008A Louisville Ave
Monroe, LA 71201-6121

Mailing address

PO Box 2144
Monroe, LA 71207-2144
Phone (318) 398-2969

Other identifiers 1

IdentifierTypeStateIssuer
P00283017OtherLARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1194760264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2144",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712072144",
            "telephone_number": "318-398-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008A LOUISVILLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016121",
            "telephone_number": "318-398-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-398-2969"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00283017",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.