Organization Active NPI

Crowley Cardiac Wellness LLC

  • Radiology Clinic/Center
  • Crowley, LA
National Provider Identifier
1659664480
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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

Updated by the provider on May 26, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.