Organization Active NPI

Louisiana Medical Management Corporation

Doing business as Canal Radiology Laboratory

  • Legal Medicine
  • New Orleans, LA
National Provider Identifier
1376685008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
LOUISIANA MEDICAL MANAGEMENT CORPORATION
Doing business as
Canal Radiology Laboratory
Practice address
2930 Canal St
Suite 400
New Orleans, LA 70119-6367
Phone
(504) 821-2574
Fax
(504) 821-2595
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert G Harvey Jr.
Title
President
Phone
(504) 821-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

2930 Canal St
Suite 400
New Orleans, LA 70119-6367

Mailing address

2930 Canal St
Suite 400
New Orleans, LA 70119-6367
Phone (504) 821-2574

Other names 1

  • Canal Radiology Laboratory Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376685008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CANAL ST",
            "address_2": "SUITE 400",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196367",
            "telephone_number": "504-821-2574",
            "fax_number": "504-821-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CANAL ST",
            "address_2": "SUITE 400",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196367",
            "telephone_number": "504-821-2574",
            "fax_number": "504-821-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA MEDICAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-821-2574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canal Radiology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.