Active NPI
Friendly Care Diagnostic Services Inc
- General Practice Physician
- Metairie, LA
National Provider Identifier
1679862403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FRIENDLY CARE DIAGNOSTIC SERVICES INC
- Practice address
- 3216 N Turnbull Dr
Suite C
Metairie, LA 70002-5732 - Phone
- (504) 885-6932
- Fax
- (504) 885-2987
- NPI assigned
- Apr 1, 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
- Sergo Kutelia
- Title
- Ceo
- Phone
- (818) 219-7003
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3216 N Turnbull Dr
Suite C
Metairie, LA 70002-5732
Mailing address
3216 N Turnbull Dr
Suite C
Metairie, LA 70002-5732
Phone (504) 885-6932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111205 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
3216 N Turnbull Dr
#C
Metairie, LA 70002
Phone (504) 885-6932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1679862403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 N TURNBULL DR",
"address_2": "SUITE C",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025732",
"telephone_number": "504-885-6932",
"fax_number": "504-885-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 N TURNBULL DR",
"address_2": "SUITE C",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025732",
"telephone_number": "504-885-6932",
"fax_number": "504-885-2987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY CARE DIAGNOSTIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-01",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "KUTELIA",
"authorized_official_first_name": "SERGO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-219-7003"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2111205",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.