First Medical Imaging, P.a., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11437R Issued in LA

Legal business name

FIRST MEDICAL IMAGING, P.A., INC.

Practice address

305 Cambridge Dr
Lafayette, LA 70503-4307

Phone

(504) 908-0337

Fax

(888) 831-9618

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

William K. Mask, M.D.

Title

Ceo

Phone

(504) 908-0337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1487089470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CAMBRIDGE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034307",
            "telephone_number": "504-908-0337",
            "fax_number": "337-706-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CAMBRIDGE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034307",
            "telephone_number": "504-908-0337",
            "fax_number": "888-831-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MEDICAL IMAGING, P.A., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "MASK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-908-0337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "11437R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lafayette, LA
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• Specialist in Louisiana

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