Beauregard - Vernon MRI LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BEAUREGARD - VERNON MRI LLC

Practice address

600 S Pine St
MRI Suite
Deridder, LA 70634-4942

Phone

(337) 462-9946

Fax

(337) 462-9947

NPI assigned

Jul 15, 2005

Last updated

Feb 13, 2015By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

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

• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Medical and Surgical Center

  • Rural Health Clinic/Center
  • Deridder, LA
  • NPI 1912372897

  Member Of

  NPD member
• West Louisiana Health Services Inc

  dba Beauregard Health System

  • Obstetrics & Gynecology Physician
  • Deridder, LA
  • NPI 1164985495

  Member Of

  NPD member

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1255330882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE ST",
            "address_2": "MRI SUITE",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344942",
            "telephone_number": "337-462-9946",
            "fax_number": "337-462-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ST",
            "address_2": "MRI SUITE",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344942",
            "telephone_number": "337-462-9946",
            "fax_number": "337-462-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD - VERNON MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-02-13",
        "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": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444561",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley McCoy
• Erik Lewis Bailey, D.C.
• James M Bailey Jr., LPC
• Bardin Dermatology, LLC
• Hannah Bearden
• Beauregard Arc
• Beauregard Arc
• Beauregard Arc (Beaueregard Association for Retarded Citizens Inc)
• Beauregard Behavioral Health Clinic
• Beauregard Emergency Group LLC

• Physiological Laboratory in Deridder, LA
• Providers in Deridder, LA by specialty
• Physiological Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.