NPIMap

Organization Active NPI

Chair MRI of Louisiana LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Mandeville, LA
National Provider Identifier
1891124889
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
40873367K Issued in LA
Legal business name
CHAIR MRI OF LOUISIANA LLC
Practice address
2639 N Causeway Blvd
Mandeville, LA 70471-6435
Phone
(985) 893-4222
Fax
(985) 893-4026
NPI assigned
Nov 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Christopher Bruce Gervais
Title
Owner/Manager
Phone
(985) 893-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 40873367K LA Primary

Addresses

Primary practice location

2639 N Causeway Blvd
Mandeville, LA 70471-6435

Mailing address

2639 N Causeway Blvd
Mandeville, LA 70471-6435
Phone (985) 893-4222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1891124889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716435",
            "telephone_number": "985-893-4222",
            "fax_number": "985-893-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716435",
            "telephone_number": "985-893-4222",
            "fax_number": "985-893-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIR MRI OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "GERVAIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "985-893-4222"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "LA",
            "license": "40873367K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.