Active NPI
Digital Imaging Services of Louisiana, LLC
Doing business as Mobile X-Ray of Louisiana
- Radiologic Technologist
- Baton Rouge, LA
National Provider Identifier
1609179852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Legal business name
- DIGITAL IMAGING SERVICES OF LOUISIANA, LLC
- Doing business as
- Mobile X-Ray of Louisiana
- Practice address
- 2431 S Acadian Thruway Ste 350
Baton Rouge, LA 70808-2374 - Phone
- (225) 926-3391
- Fax
- (225) 926-3389
- NPI assigned
- Dec 9, 2010
- 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
- Kelly Ashworth
- Title
- Executive VP
- Phone
- (225) 800-4954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | Primary |
Addresses
Primary practice location
2431 S Acadian Thruway Ste 350
Baton Rouge, LA 70808-2374
Mailing address
2431 S Acadian Thruway Ste 350
Baton Rouge, LA 70808-2374
Phone (225) 926-3391
Other names 1
- Mobile X-Ray of Louisiana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110624000132 | LA | Part B Supplier - Portable X-Ray Supplier | 0345344271 | Practice locations: Baton Rouge, LA |
Portable X-ray supplier certification: CCN 19X0009835
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MOBILE X RAY SERVICE OF LOUISIANA
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- May 11, 2007
- Last certification
- Feb 4, 2019
- Ownership / control type
- Corporation
- Facility address
- 2431 S Acadian Thruway, Ste 100
Baton Rouge, LA 70808
National Provider Directory
National Provider DirectoryLocations
2431 S Acadian Trwy
Ste 350
Baton Rouge, LA 70808
Phone (225) 926-3391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1609179852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S ACADIAN THRUWAY STE 350",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708082374",
"telephone_number": "225-926-3391",
"fax_number": "225-926-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 S ACADIAN THRUWAY STE 350",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708082374",
"telephone_number": "225-926-3391",
"fax_number": "225-926-3389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITAL IMAGING SERVICES OF LOUISIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-09",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "ASHWORTH",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "225-800-4954"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobile X-Ray of Louisiana",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mobile X-Ray of Louisiana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.