Cardiovascular Imaging of Louisiana

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

CARDIOVASCULAR IMAGING OF LOUISIANA

Practice address

2671 Main Hwy
Breaux Bridge, LA 70517-6637

Phone

(337) 288-1551

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Adam Broussard

Title

Co Owner

Phone

(337) 288-1551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1649594359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 MAIN HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176637",
            "telephone_number": "337-288-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 MAIN HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176637",
            "telephone_number": "337-288-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "337-288-1551"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Brown, LCSW
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• Arlissa Irene Byers, NP
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• Care Life Inc
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• Christi Danielle Carmouche, APRN, NP-C
• Betty Marie Carr, CCC-SLP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.