Organization Active NPI

Precision Radiology Management of Louisiana LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1477792893
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PRECISION RADIOLOGY MANAGEMENT OF LOUISIANA LLC
Practice address
201 W Vermilion St
Suite 200
Lafayette, LA 70501-6847
Phone
(337) 704-0416
Fax
(337) 704-0417
NPI assigned
Feb 9, 2009
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
James W. Howard III
Title
Director
Phone
(337) 704-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X LA Primary

Addresses

Primary practice location

201 W Vermilion St
Suite 200
Lafayette, LA 70501-6847

Mailing address

201 W Vermilion St
Suite 200
Lafayette, LA 70501-6847
Phone (337) 704-0416

Other identifiers 2

IdentifierTypeStateIssuer
1462039MedicaidLA
06520221MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1477792893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W VERMILION ST",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016847",
            "telephone_number": "337-704-0416",
            "fax_number": "337-704-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W VERMILION ST",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016847",
            "telephone_number": "337-704-0416",
            "fax_number": "337-704-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION RADIOLOGY MANAGEMENT OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-704-0416",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462039",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06520221",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.