Active NPI
Crowley Cardiac Wellness LLC
- Radiology Clinic/Center
- Crowley, LA
National Provider Identifier
1659664480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- CROWLEY CARDIAC WELLNESS LLC
- Practice address
- 1113 E Northern Ave
Crowley, LA 70526-3035 - Phone
- (337) 680-4877
- Fax
- (337) 205-7972
- NPI assigned
- May 26, 2011
- 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
- Mr. Nitin Lourdes Malla, GENERAL PARTNER
- Title
- Managing Director
- Phone
- (914) 494-3803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
1113 E Northern Ave
Crowley, LA 70526-3035
Mailing address
1113 E Northern Ave
Crowley, LA 70526-3035
Phone (337) 680-4877
National Provider Directory
National Provider DirectoryLocations
1113 E Northern Ave
Ste B
Crowley, LA 70526
Phone (337) 250-4647
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Crowley, LA
- NPI 1356491336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1659664480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 E NORTHERN AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705263035",
"telephone_number": "337-680-4877",
"fax_number": "337-205-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 E NORTHERN AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705263035",
"telephone_number": "337-680-4877",
"fax_number": "337-205-7972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWLEY CARDIAC WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "MALLA",
"authorized_official_first_name": "NITIN",
"authorized_official_middle_name": "LOURDES",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "914-494-3803",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "GENERAL PARTNER"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.