NPIMap

Organization Active NPI

Radiology Imaging Associates, LLP

  • Body Imaging Physician
  • Bossier City, LA
National Provider Identifier
1265410583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
RADIOLOGY IMAGING ASSOCIATES, LLP
Practice address
2105 Airline Dr
Radiology Department
Bossier City, LA 71111-3105
Phone
(318) 741-6078
NPI assigned
Jan 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kurt Thomas Grozinger, M.D.NPI 1548264211
Title
President
Phone
(318) 868-1559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X Primary

Addresses

Primary practice location

2105 Airline Dr
Radiology Department
Bossier City, LA 71111-3105

Mailing address

PO Box 3509
Shreveport, LA 71133-3509
Phone (318) 747-7370

Other identifiers 1

IdentifierTypeStateIssuer
1338826MedicaidLA

National Provider Directory

National Provider Directory

Locations

1534 Elizabeth Ave
Ste 300
Shreveport, LA 71101
Phone (318) 629-5001

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265410583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3509",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711333509",
            "telephone_number": "318-747-7370",
            "fax_number": "318-747-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 AIRLINE DR",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113105",
            "telephone_number": "318-741-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY IMAGING ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROZINGER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-868-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338826",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.