Organization Active NPI

CT Imaging of Lafayette LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1487630117
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CT IMAGING OF LAFAYETTE LLC
Practice address
2311 Kaliste Saloom Rd
Suite B
Lafayette, LA 70508-6807
Phone
(337) 231-5775
Fax
(337) 231-5776
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
James W. Holmes
Title
Chief Operating Officer
Phone
(337) 291-9161

Specialties & licenses 1

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

Addresses

Primary practice location

2311 Kaliste Saloom Rd
Suite B
Lafayette, LA 70508-6807

Mailing address

2311 Kaliste Saloom Rd
Suite B
Lafayette, LA 70508-6807
Phone (337) 231-5775

Other identifiers 1

IdentifierTypeStateIssuer
1447323MedicaidLA

National Provider Directory

National Provider Directory

Locations

2311 Kaliste Saloom Rd
Ste B
Lafayette, LA 70508
Phone (337) 231-5775

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1487630117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 KALISTE SALOOM RD",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086807",
            "telephone_number": "337-231-5775",
            "fax_number": "337-231-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 KALISTE SALOOM RD",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086807",
            "telephone_number": "337-231-5775",
            "fax_number": "337-231-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT IMAGING OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "337-291-9161"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447323",
            "state": "LA"
        }
    ],
    "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 Jan 4, 2008; 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.