NPIMap

Organization Active NPI

Amd Healthcare LC, LLC

  • Diagnostic Radiology Physician
  • Lake Charles, LA
National Provider Identifier
1902302193
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AMD HEALTHCARE LC, LLC
Practice address
3730 Nelson Road
Lake Charles, LA 70605
Phone
(337) 513-0817
NPI assigned
Apr 5, 2018
Organization subpart
Yes
Parent organization
AMD HEALTHCARE LC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Elie Harroch
Title
Director of Finance
Phone
(713) 590-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3730 Nelson Road
Lake Charles, LA 70605

Mailing address

9811 Katy Fwy Ste 1060
Houston, TX 77024-1280
Phone (713) 590-0640

Other names 1

  • Avail LC Radiology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amd Healthcare LC LLC2 organizations share this tax ID, including this one
Part of
Amd Healthcare LC LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1902302193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 KATY FWY STE 1060",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241280",
            "telephone_number": "713-590-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 NELSON ROAD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-513-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD HEALTHCARE LC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMD HEALTHCARE LC, LLC",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "HARROCH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "713-590-0640"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avail LC Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avail LC Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.