NPIMap

Organization Active NPI

St. Christopher's Imaging, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Shreveport, LA
National Provider Identifier
1457741852
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
ST. CHRISTOPHER'S IMAGING, LLC
Practice address
1725 Elizabeth Ave
Shreveport, LA 71101-4502
Phone
(318) 658-9637
Fax
(318) 425-9189
NPI assigned
Jan 23, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CHRISTOPHER'S IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Mr. Christopher A Santora, RDMS,RVT,ARRT
Title
Managing Partner
Phone
(318) 658-9637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 01957841 LA
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X LA Primary

Addresses

Primary practice location

1725 Elizabeth Ave
Shreveport, LA 71101-4502

Mailing address

1725 Elizabeth Ave
Shreveport, LA 71101-4502
Phone (318) 658-9637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130812000199 LA Part B Supplier - Portable X-Ray Supplier 2062694458 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Shreveport, LA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Christophers Imaging LLC2 organizations share this tax ID, including this one
Part of
St Christophers Imaging LLC

Other organizations with this tax ID 1

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

Locations

1725 Elizabeth Ave
Shreveport, LA 71101
Phone (318) 658-9637

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 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1457741852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 ELIZABETH AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014502",
            "telephone_number": "318-658-9637",
            "fax_number": "318-425-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ELIZABETH AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014502",
            "telephone_number": "318-658-9637",
            "fax_number": "318-425-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHRISTOPHER'S IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CHRISTOPHER'S IMAGING, LLC",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SANTORA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "318-658-9637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS,RVT,ARRT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "LA",
            "license": "01957841",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.