Fairway Imaging, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

FAIRWAY IMAGING, LLC

Doing business as

Premier MRI 4 U

Practice address

1200 Pinnacle Parkway
Suite 5
Covington, LA 70433-9169

Phone

(985) 809-6744

Fax

(965) 809-6745

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Monica Rester

Title

Administrator

Phone

(985) 809-6744

Specialties & licenses 1

Addresses

Other names 1

• Premier MRI 4 U Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1376650820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PARKWAY",
            "address_2": "SUITE 5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339169",
            "telephone_number": "985-809-6744",
            "fax_number": "985-809-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PARKWAY",
            "address_2": "SUITE 5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339169",
            "telephone_number": "985-809-6744",
            "fax_number": "965-809-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "RESTER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-809-6744"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier MRI 4 U",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physiological Laboratory in Covington, LA
• Providers in Covington, LA by specialty
• Physiological Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.