Organization Active NPI

Ultrasound Enterprise LLC

  • Diagnostic Radiology Physician
  • Gray, LA
National Provider Identifier
1700877297
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ULTRASOUND ENTERPRISE LLC
Practice address
165 Frontage Road
Suite B
Gray, LA 70359
Phone
(985) 580-2888
Fax
(985) 851-7526
NPI assigned
Nov 2, 2005
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
James W. Holmes
Title
Chief Operating Officer
Phone
(337) 291-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

165 Frontage Road
Suite B
Gray, LA 70359

Mailing address

165 Frontage Road
Suite B
Gray, LA 70359
Phone (985) 580-2888

Other identifiers 1

IdentifierTypeStateIssuer
1449784MedicaidLA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

165 Frontage Road a
Ste B
Gray, LA 70359
Phone (985) 580-2888

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1700877297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 FRONTAGE ROAD",
            "address_2": "SUITE B",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "70359",
            "telephone_number": "985-580-2888",
            "fax_number": "985-851-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FRONTAGE ROAD",
            "address_2": "SUITE B",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "70359",
            "telephone_number": "985-580-2888",
            "fax_number": "985-851-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASOUND ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "337-291-9161"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449784",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.