Express Care Diagnostics of Southwest la., Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

EXPRESS CARE DIAGNOSTICS OF SOUTHWEST LA., INC

Practice address

110 Hugh Wallis Rd
Lafayette, LA 70508-2107

Phone

(337) 289-5456

Fax

(337) 289-0119

NPI assigned

Mar 15, 2006

Organization subpart

No

Name

Ms. Shelia Lauw

Title

Owner

Phone

(281) 346-0801

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2009.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1366411191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80735",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705980735",
            "telephone_number": "281-346-0801",
            "fax_number": "281-346-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HUGH WALLIS RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082107",
            "telephone_number": "337-289-5456",
            "fax_number": "337-289-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE DIAGNOSTICS OF SOUTHWEST LA., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "LAUW",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-346-0801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "43784",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "630000386",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904571",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.