Organization Active NPI

Omega Professional Radiology Services, LLC

  • Diagnostic Radiology Physician
  • Mandeville, LA
National Provider Identifier
1346601705
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD023846 Issued in LA
Legal business name
OMEGA PROFESSIONAL RADIOLOGY SERVICES, LLC
Practice address
7122 Meadowbrook Dr
Mandeville, LA 70471-7407
Phone
(985) 626-5859
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
William R Romani Jr., MD
Title
Owner
Phone
(985) 626-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD023846 LA Primary

Addresses

Primary practice location

7122 Meadowbrook Dr
Mandeville, LA 70471-7407

Mailing address

7122 Meadowbrook Dr
Mandeville, LA 70471-7407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1346601705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 MEADOWBROOK DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7122 MEADOWBROOK DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717407",
            "telephone_number": "985-626-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PROFESSIONAL RADIOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "ROMANI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-626-5859",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD023846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.