Mobile X-Ray of Louisiana, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MOBILE X-RAY OF LOUISIANA, LLC

Practice address

1021 Coolidge Blvd.
Lafayette, LA 70503-0000

Phone

(337) 412-6702

Fax

(337) 504-2158

NPI assigned

Dec 20, 2006

Last updated

Nov 18, 2009By 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

Mr. Jeremy A. Hebert

Title

Manager

Phone

(337) 233-1987

Specialties & licenses 2

Addresses

Tax ID family

Mobile Imaging and Diagnostics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile X-Ray of Louisiana, LLC

  • Mobile Mammography Clinic/Center
  • Lafayette, LA
  • NPI 1265762025
  NPD tax ID

Locations

Practitioners 1

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.

• Patrick Lee Miller, R.T.

  • Radiologic Technologist
  • Lafayette, LA
  • NPI 1184763617
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1326102633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HARDING ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032450",
            "telephone_number": "337-412-6702",
            "fax_number": "337-504-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE BLVD.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705030000",
            "telephone_number": "337-412-6702",
            "fax_number": "337-504-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE X-RAY OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-233-1987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MK Dixon Counseling & Consulting LLC (Breakthrough Therapeutic Services)
• Mobile Care, Inc
• Mobile Diagnostics of Lafayette LLC
• Mobile Imaging and Diagnostics, LLC
• Mobile X-Ray of Louisiana, LLC
• Isabelle Mocek
• Modern Chiropractic, LLC
• Tracy Alexis Moffett
• Momentum Plus Physical Therapy
• Erin Gena Monachello, NURSE PRACTITIONER

• Mobile Radiology Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mobile Radiology Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.