Organization Active NPI

Neuro Science Center of Acadiana LLC

  • Clinical Neurophysiology Physician
  • Lafayette, LA
National Provider Identifier
1699857417
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NEURO SCIENCE CENTER OF ACADIANA LLC
Practice address
1245 S College Rd
Suite 100
Lafayette, LA 70503-2907
Phone
(337) 269-5840
Fax
(337) 237-7568
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. James Neal Domingue, M.D.NPI 1699779645
Title
Registered Agent
Phone
(337) 269-5840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

1245 S College Rd
Suite 100
Lafayette, LA 70503-2907

Mailing address

1245 S College Rd
Suite 100
Lafayette, LA 70503-2907
Phone (337) 269-5840

National Provider Directory

National Provider Directory

Locations

1245 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 269-5840

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1699857417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032907",
            "telephone_number": "337-269-5840",
            "fax_number": "337-237-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032907",
            "telephone_number": "337-269-5840",
            "fax_number": "337-237-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SCIENCE CENTER OF ACADIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "DOMINGUE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "337-269-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.