NPIMap

Organization Active NPI

La Imaging Services LLC

  • Mobile Radiology Clinic/Center
  • Alexandria, LA
National Provider Identifier
1649212002
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
746204102006 Issued in LA
Legal business name
LA IMAGING SERVICES LLC
Practice address
2209 N Bolton Ave
Alexandria, LA 71303-4408
Phone
(318) 473-9917
Fax
(318) 473-9993
NPI assigned
Jun 11, 2006
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Mr. Rodney John Baronet Jr.
Title
Owner
Phone
(318) 473-9917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 746204102006 LA Primary

Addresses

Primary practice location

2209 N Bolton Ave
Alexandria, LA 71303-4408

Mailing address

PO Box 13260
Alexandria, LA 71315
Phone (318) 473-9917

Other identifiers 1

IdentifierTypeStateIssuer
1342858MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017000019 LA Part B Supplier - Portable X-Ray Supplier 4082630454 Practice locations: Alexandria, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649212002. Details of each certification follow.

Portable X-ray supplier certification: CCN 19X0009834

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
LA IMAGING SERVICES, LLC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Sep 15, 2005
Last certification
Oct 28, 2019
Ownership / control type
Partnership
Facility address
2209 North Bolton Ave
Alexandria, LA 71303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1649212002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13260",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71315",
            "telephone_number": "318-473-9917",
            "fax_number": "318-473-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034408",
            "telephone_number": "318-473-9917",
            "fax_number": "318-473-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "BARONET",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-473-9917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "LA",
            "license": "746204102006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342858",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.