NPIMap

Organization Active NPI

Medical & Diagnostic Clinic,LLC

  • Medical Specialty Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1306183645
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1266 Issued in LA
Legal business name
MEDICAL & DIAGNOSTIC CLINIC,LLC
Practice address
10620 Timberlake Ave
BLDG 3
Baton Rouge, LA 70810-6614
Phone
(225) 761-1981
Fax
(225) 761-1983
NPI assigned
Jan 7, 2013
Organization subpart
Yes
Parent organization
MEDICAL & DIAGNOSTIC CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Irshan Chaudary, DC,DACNB,FACFNNPI 1114128444
Title
Ceo
Phone
(225) 761-1981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1266 LA Primary

Addresses

Primary practice location

10620 Timberlake Ave
BLDG 3
Baton Rouge, LA 70810-6614

Mailing address

10620 Timberlake Ave
BLDG 3
Baton Rouge, LA 70810-6614
Phone (225) 761-1981

National Provider Directory

National Provider Directory
Part of
Medical Diagnostic Clinic LLC

Locations

10620 Timberlake Dr
Bldg 3
Baton Rouge, LA 70810
Phone (225) 761-1981

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1306183645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 TIMBERLAKE AVE",
            "address_2": "BLDG 3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106614",
            "telephone_number": "225-761-1981",
            "fax_number": "225-761-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 TIMBERLAKE AVE",
            "address_2": "BLDG 3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106614",
            "telephone_number": "225-761-1981",
            "fax_number": "225-761-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & DIAGNOSTIC CLINIC,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL & DIAGNOSTIC CLINIC, LLC",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "CHAUDARY",
        "authorized_official_first_name": "IRSHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-761-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,DACNB,FACFN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.