NPIMap

Organization Active NPI

West Jefferson MRI, LLC

Doing business as MRI of Louisiana

  • Physiological Laboratory
  • Marrero, LA
National Provider Identifier
1396776837
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
WEST JEFFERSON MRI, LLC
Doing business as
MRI of Louisiana
Practice address
4525 Westbank Expy
Suite B
Marrero, LA 70072-3120
Phone
(504) 349-6570
Fax
(504) 349-6195
NPI assigned
Jul 5, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST JEFFERSON MRI LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Mr. Patrick G. Howard
Title
Managing Member
Phone
(337) 291-9161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

4525 Westbank Expy
Suite B
Marrero, LA 70072-3120

Mailing address

4525 Westbank Expy
Suite B
Marrero, LA 70072-3120
Phone (504) 349-6570

Other identifiers 1

IdentifierTypeStateIssuer
1442607MedicaidLA

Other names 1

  • MRI of Louisiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121120000095 LA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224082623 Practice locations: Marrero, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
West Jefferson MRI LLC2 organizations share this tax ID, including this one
Part of
West Jefferson MRI LLC

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1396776837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 WESTBANK EXPY",
            "address_2": "SUITE B",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723120",
            "telephone_number": "504-349-6570",
            "fax_number": "504-349-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 WESTBANK EXPY",
            "address_2": "SUITE B",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723120",
            "telephone_number": "504-349-6570",
            "fax_number": "504-349-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON MRI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST JEFFERSON MRI LLC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-291-9161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442607",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.