Baton Rouge Radiology Imaging Center, LLC
Organization Active NPI Specialist · Baton Rouge, LA
NPI 1780977017 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1780977017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- BATON ROUGE RADIOLOGY IMAGING CENTER, LLC
- Practice address
- 5422 Dijon Dr
Baton Rouge, LA 70808-4315 - Phone
- (225) 769-9337
- NPI assigned
- May 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. William Gregoire, M.D.
- Title
- President
- Phone
- (225) 769-7600
Member of 1
Practitioners 2
-
David P Nussbaumer III, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1076794 | Baton Rouge General Imaging Center | Certificate of waiver | Nov 25, 2027 |
National Provider Directory
Locations
2250 Oneal LN
Baton Rouge, LA 70816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
5422 Dijon Dr
Baton Rouge, LA 70808-4315
Mailing address
7887 Picardy Ave
Baton Rouge, LA 70809-3534
Other providers in Baton Rouge, LA
- Baton Rouge Podiatry, LLC
- Baton Rouge Primary Care Collaborative, Inc.
- Baton Rouge Primary Care Collaborative, Inc.
- Baton Rouge Primary Care Collaborative, Inc.
- Baton Rouge Radiology Group Inc
- Baton Rouge Recovery Health LLC
- Baton Rouge Rehabiliation Hospital LLC
- Baton Rouge Rehabilitation Hospital
- Baton Rouge Rehabilitation Hospital LLC
- Baton Rouge Rehabilitation Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.