Ark-la-Tex Diagnostics, Inc.
Organization Active NPI Radiology Clinic/Center · Alexandria, LA
NPI 1528081924 · NPPES record last updated Jan 21, 2022
Key facts
- NPI
- 1528081924
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- License
- 755805402006 (LA)
- Legal business name
- ARK-LA-TEX DIAGNOSTICS, INC.
- Practice address
- 5413 Jaskson Street Ext.
Alexandria, LA 71303 - Phone
- (318) 445-8009
- Fax
- (318) 445-8845
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Margarita Torres
- Title
- Credentialing
- Phone
- (504) 459-3220
Practitioners 50
-
Allen Douglas Acomb III, M.D.
-
Gerard A. Ballanco Jr., M.D.
-
Scott A Carbajal, MD
-
Warren J Green, M.D.
-
Michael Hoss, M.D.
-
Mohammad Ali Khan, M.D.
-
Bruce R. Knox, M.D.
-
John G Lemieux, MD
-
Victor A McCoy, MD
-
Michael P Nguyen, MD
-
Steven W Pate, M.D.
-
Steven F Pflug, M.D.
-
Joe H Rankin, M.D.
-
Christopher Rouse, M.D.
-
Paula M. Sharkey, M.D.
-
Mark T. Stephan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040504001152 | LA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9739177122 | Practice locations: Alexandria, LA |
National Provider Directory
Locations
5413 Jackson Street Ext
Ste A
Alexandria, LA 71303
4241 Veterans Memorial Blvd
Ste 201
Metairie, LA 70006
920 Pierremont Rd
Ste 310
Shreveport, LA 71106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 755805402006 | LA | Yes |
Addresses
Primary practice location
5413 Jaskson Street Ext.
Alexandria, LA 71303
Mailing address
4241 Veterans Memorial Blvd Ste 200
Metairie, LA 70006-5430
Phone (888) 273-3445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459755 | Medicaid | LA |
Other names
- Open Air MRI CEN-LA
- Open Air MRI of Cen-La
Other providers in Alexandria, LA
- Arcane Health Care, LLC
- Dayved Daumanek Archinard
- Gregory J Ardoin
- Kennady Grace Ardoin
- Sadie McCauley Ardoin
- Angel Armand
- Randy Armand
- Eric Armstead Jr.
- Cassandra Armstrong
- Karen Armstrong
All providers in Alexandria, LA · Radiology Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.