St Marys Imaging Center II

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ST MARYS IMAGING CENTER II

Doing business as

Lourdes Imaging at Ambassador Caffery

Practice address

4809 Ambassador Caffery Pkwy Ste 350
Lafayette, LA 70508-8801

Phone

(337) 470-7517

NPI assigned

Apr 20, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Clowers

Title

VP of Finance

Phone

(337) 470-2147

Specialties & licenses 1

Addresses

Other names 1

• Lourdes Imaging at Ambassador Caffery Doing business as

Member of 1

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

• Our Lady of Lourdes Regional Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1952497489

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1801383245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY STE 350",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088801",
            "telephone_number": "337-470-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY STE 350",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088801",
            "telephone_number": "337-470-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS IMAGING CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "CLOWERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "337-470-2147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Imaging at Ambassador Caffery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Praneet Kumar Srisailam
• Dana St Julien, LCSW
• Elizabeth St Julien
• St Luke's Specialty Hospital of Sunset, LLC
• St Marys Imaging Center II (Lourdes Imaging at St. Mary's)
• Luke Wayne St Pierre, DDS
• St Roy Family Care Inc
• St Roy Family Care LLC
• Rosemary St. Clergy, MD
• Mark A. St. Cyr, MD

• Diagnostic Radiology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.