NPIMap

Organization Active NPI

Imperial Health-Cardiovascular Specialists of Swla

  • Primary Care Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1417365495
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP07952 Issued in LA
Legal business name
IMPERIAL HEALTH-CARDIOVASCULAR SPECIALISTS OF SWLA
Practice address
600 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone
(337) 436-3813
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Michela Joseph
Title
Him Manager
Phone
(337) 312-8472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP07952 LA Primary

Addresses

Primary practice location

600 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

National Provider Directory

National Provider Directory
Tax ID family
The Clinic Family Pract41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1417365495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015727",
            "telephone_number": "337-436-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HEALTH-CARDIOVASCULAR SPECIALISTS OF SWLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MICHELA",
        "authorized_official_title_or_position": "HIM MANAGER",
        "authorized_official_telephone_number": "337-312-8472"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "AP07952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.