Riverpark Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

261QR0200X Issued in LA

Legal business name

RIVERPARK IMAGING CENTER LLC

Practice address

107 Front St
Vidalia, LA 71373-2836

Phone

(318) 336-2225

Fax

(318) 336-6060

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Marci L McGraw, CFO

Title

Cfo

Phone

(318) 336-2222

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1699761429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FRONT ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713732834",
            "telephone_number": "318-336-2225",
            "fax_number": "318-336-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FRONT ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713732836",
            "telephone_number": "318-336-2225",
            "fax_number": "318-336-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPARK IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-336-2222",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "LA",
            "license": "261QR0200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  PROVIDER#  MS",
            "identifier": "2415",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER # LA",
            "identifier": "G7265",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Park ASC LLC
• Riverfront Urgent Care Center LLC
• Riverpark After Hours Clinic LLC
• Riverpark Community Cath Lab, LLC
• Riverpark Counseling LLC
• Riverpark Laboratory Services
• Riverpark Primary Health Clinic, LLC.
• Riverview Pulmonary Clinic
• Juanita Roberts
• Dorothy Robinson

• Radiology Clinic/Center in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Radiology Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.