NPIMap

Organization Active NPI

Imaging Affiliates of Baton Rouge, LTD.

Doing business as Baton Rouge Imaging

  • Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1710093687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IMAGING AFFILIATES OF BATON ROUGE, LTD.
Doing business as
Baton Rouge Imaging
Practice address
8044 Summa Ave
Baton Rouge, LA 70809-3411
Phone
(225) 761-7278
Fax
(225) 767-8121
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward R Asaro
Title
President
Phone
(504) 454-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

8044 Summa Ave
Baton Rouge, LA 70809-3411

Mailing address

8044 Summa Ave
Baton Rouge, LA 70809-3411
Phone (225) 761-7278

Other identifiers 1

IdentifierTypeStateIssuer
1948578MedicaidLA

Other names 1

  • Baton Rouge Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000164 LA Part B Supplier - Clinic/Group Practice 2769461862 Receives reassigned benefits from 19 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

8044 Summa Ave
Baton Rouge, LA 70809
Phone (225) 761-7278

8044 Summa Ave
Bldg 1B
Baton Rouge, LA 70809
Phone (225) 761-7278

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710093687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093411",
            "telephone_number": "225-761-7278",
            "fax_number": "225-767-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093411",
            "telephone_number": "225-761-7278",
            "fax_number": "225-767-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING AFFILIATES OF BATON ROUGE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASARO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-454-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948578",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baton Rouge Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.