Active NPI
South East Imaging, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Pearl River, LA
National Provider Identifier
1528294956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- SOUTH EAST IMAGING, LLC
- Practice address
- 39189 Oak St
Pearl River, LA 70452-5031 - Phone
- (504) 512-2161
- NPI assigned
- May 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert W Johnson
- Title
- Consultant
- Phone
- (504) 512-2161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
39189 Oak St
Pearl River, LA 70452-5031
Mailing address
39189 Oak St
Pearl River, LA 70452-5031
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243555200000",
"number": "1528294956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39189 OAK ST",
"city": "PEARL RIVER",
"state": "LA",
"postal_code": "704525031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39189 OAK ST",
"city": "PEARL RIVER",
"state": "LA",
"postal_code": "704525031",
"telephone_number": "504-512-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH EAST IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "504-512-2161"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.