Organization 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
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
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

Updated by the provider on Mar 1, 2023

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)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

Verify at the official NPI Registry.