Jeremy J Laborde, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

200985 Issued in LA

Practice address

1501 Kings Hwy
Department of Radiology
Shreveport, LA 71103-4228

Phone

(318) 675-5000

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in Shreveport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging Associates of Louisiana Apm LLCGroup PAC ID 0345273355, 2 clinicians

Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Imaging Associates of Louisiana, Apm LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1083601207
  Medicare reassignment Care Compare group NPD
• Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
  • NPI 1659347771
  Medicare reassignment Care Compare group NPD
• Acadiana Imaging Services LLC

  • Radiology Clinic/Center
  • Lafayette, LA
  • NPI 1710756911
  NPD
• Ogh Imaging, LLC

  • Radiology Clinic/Center
  • Grand Coteau, LA
  • NPI 1598791188
  NPD
• Premier Diagnostic Solutions, LLC

  • Diagnostic Ultrasound Physician
  • Thibodaux, LA
  • NPI 1902321755
  NPD
• Acadiana Imaging Services LLC

  • Radiology Clinic/Center
  • Lafayette, LA
  • NPI 1104413806
  NPD (past)
• Precision Radiology Management of Louisiana LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1477792893
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette Surgical Hospital LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1134222565
  Care Compare affiliation
• Lafayette Surgical Hospital, LLC

  • Specialist
  • Lafayette, LA
  • NPI 1255736492

  Hospital

  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation
• Our Lady of the Lake Hospital Inc.

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1689884199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "JEREMY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "200985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09298",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Shree Labom, RSW
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Gregory Laborde
• Vicki Rachal Laborde, LCSW
• Wendi Leigh Johnson Laborde, PH.D.
• Lacam Enterprise LLC
• Miriam E Lacaze, CRNA
• Paula Lachney

• Diagnostic Radiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.