Northeast Imaging Center

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

NORTHEAST IMAGING CENTER

Practice address

1703 Lamy LN
Monroe, LA 71201-3737

Phone

(318) 570-4985

Fax

(318) 450-4040

NPI assigned

Mar 9, 2018

Last updated

Sep 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Stagg

Title

President

Phone

(225) 270-7077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Douglas Acomb III, M.D.

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1417275793
  NPD
• Stephen Arndt

  • Diagnostic Radiology Physician
  • Jefferson, LA
  • NPI 1902283880
  NPD
• Gerard A. Ballanco Jr., M.D.

  • Diagnostic Radiology Physician
  • Opelousas, LA
  • NPI 1053330779
  NPD
• Thomas G. Block III, DO

  • Diagnostic Radiology Physician
  • West Monroe, LA
  • NPI 1265096390
  NPD
• Patrick Stephen Boyle, MD

  • Diagnostic Radiology Physician
  • New Orleans, LA
  • NPI 1336320365
  NPD
• Rodney W. Burns Jr., MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1164419370
  NPD
• Stephanie D. Casey, M.D., M.P.H.

  • Diagnostic Radiology Physician
  • New Orleans, LA
  • NPI 1508870783
  NPD
• Hunter T. Christy, MD

  • Diagnostic Radiology Physician
  • West Monroe, LA
  • NPI 1699162206
  NPD
• Warren J Green, M.D.

  • Diagnostic Radiology Physician
  • West Monroe, LA
  • NPI 1174546386
  NPD
• Kurt Thomas Grozinger, M.D.

  • Diagnostic Radiology Physician
  • Bossier City, LA
  • NPI 1548264211
  NPD
• Floyd Michael Hindelang III

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1447277520
  NPD
• Blaine Henry Hoppe, MD

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1942234190
  NPD

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1558864249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065430",
            "telephone_number": "888-273-3445",
            "fax_number": "504-883-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LAMY LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013737",
            "telephone_number": "318-570-4985",
            "fax_number": "318-450-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-270-7077"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Delta Human Services Authority (Monroe Behavioral Health Clinic)
• Northeast Delta Human Services Authority (Monroe Behavioral Health Clinic-Medical)
• Northeast Delta Human Services Authority (R.I.S.E (Reaching Independence through Support & Education))
• Northeast Delta Human Services Authority (Monroe Behavioral Health Child and Family Services - Medical)
• Northeast Delta Human Services Authority (Monroe Behavioral Health Child & Family Services)
• Northeast Louisana Veterans Home
• Northeast Louisiana Cardiovascular
• Northeast Louisiana Center for Eating Disorders
• Northeast Louisiana Health Solutions (Americare)
• Northeast Louisiana Health Solutions (Americare)

• Magnetic Resonance Imaging (MRI) Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.