Active NPI
Ultrasound Enterprise LLC
- Diagnostic Radiology Physician
- Gray, LA
National Provider Identifier
1700877297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2008
- 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
- James W. Holmes
- Title
- Chief Operating Officer
- Phone
- (337) 291-9161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1449784 | Medicaid | LA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Imaging Center of South Louisiana
- Specialist
- Gray, LA
- NPI 1285630129
Member Of
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
- Thibodaux Regional Urgent Care, LLC (Thibodaux Regional Urgent Care)
- Therese Marie Trapolin, LCSW
- Myyahhnna Trench
- Tri-Parish Orthopedic & Neurosurgical Institute,LLC
- Gavin Triche, PA-C
- Sade Verdin
- Angela Chiasson Waddell
- McCall Richard Walker
- Natesha Rhodes Williams, PHLEBOTOMIST
- Alice L Wilson, LPN
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.