Organization Active NPI

Advanced Imaging Specialties, LLC

  • Nuclear Cardiology Physician
  • Ville Platte, LA
National Provider Identifier
1821320110
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
LA10913L01 Issued in LA
Legal business name
ADVANCED IMAGING SPECIALTIES, LLC
Practice address
120 W Main St
Suite 3
Ville Platte, LA 70586-4574
Phone
(337) 261-0928
Fax
(337) 233-7773
NPI assigned
Feb 11, 2010
Organization subpart
Yes
Parent organization
LAFAYETTE HEART CLINIC INVESTMENTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Kevin A Courville, M.D.
Title
Manager / MD
Phone
(337) 261-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X LA10913L01 LA Primary

Addresses

Primary practice location

120 W Main St
Suite 3
Ville Platte, LA 70586-4574

Mailing address

5000 Ambassador Caffery Pkwy
BLDG #1
Lafayette, LA 70508-6984
Phone (337) 261-0928

National Provider Directory

National Provider Directory

Locations

120 W Main St
Ste 3
Ville Platte, LA 70586
Phone (337) 261-0928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1821320110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY",
            "address_2": "BLDG #1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-261-0928",
            "fax_number": "337-233-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864574",
            "telephone_number": "337-261-0928",
            "fax_number": "337-233-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING SPECIALTIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE HEART CLINIC INVESTMENTS",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER / MD",
        "authorized_official_telephone_number": "337-261-0928",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "LA",
            "license": "LA10913L01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.