Organization Active NPI

South East Imaging, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Pearl River, LA
National Provider Identifier
1528294956
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on May 29, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.