Active NPI
Imaging Center of Louisiana LLC
- Diagnostic Radiology Physician
- Baton Rouge, LA
National Provider Identifier
1801895578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- IMAGING CENTER OF LOUISIANA LLC
- Practice address
- 8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-3669 - Phone
- (225) 761-8988
- Fax
- (225) 761-8940
- NPI assigned
- Jul 15, 2005
- 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 | Primary |
Addresses
Primary practice location
8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-3669
Mailing address
8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-3669
Phone (225) 761-8988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1442216 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1922097021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1801895578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8338 SUMMA AVE",
"address_2": "SUITE 100",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093669",
"telephone_number": "225-761-8988",
"fax_number": "225-761-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8338 SUMMA AVE",
"address_2": "SUITE 100",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093669",
"telephone_number": "225-761-8988",
"fax_number": "225-761-8940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING CENTER OF LOUISIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2008-02-15",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1442216",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 15, 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.