Active NPI
Premier Diagnostic Solutions, LLC
- Diagnostic Ultrasound Physician
- Thibodaux, LA
National Provider Identifier
1902321755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- PREMIER DIAGNOSTIC SOLUTIONS, LLC
- Practice address
- 603 Jackson St
Thibodaux, LA 70301-2729 - Phone
- (985) 413-9770
- Fax
- (985) 259-8771
- NPI assigned
- Aug 12, 2017
- 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
- Mrs. Casey Rowden Duncan, RCS
- Title
- Owner/Director of Operations
- Phone
- (985) 381-6451
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
603 Jackson St
Thibodaux, LA 70301-2729
Mailing address
159 Gainesville Dr
Gray, LA 70359-4525
Phone (985) 381-6451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180129001863 | LA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5193085850 | Practice locations: Thibodaux, LA |
National Provider Directory
National Provider DirectoryLocations
603 Jackson St
Thibodaux, LA 70301
Phone (985) 413-9770
603 Jackson St
#A
Thibodaux, LA 70301
Phone (985) 413-9770
603 Jackson St
#A
Thibodaux, LA 70301
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Ultrasound Physician
- Thibodaux, LA
- NPI 1245750124
-
- Diagnostic Radiology Physician
- Lafayette, LA
- NPI 1902010093
-
- Body Imaging Physician
- New Orleans, LA
- NPI 1669679403
-
- Diagnostic Radiology Physician
- Shreveport, LA
- NPI 1689884199
-
- Cardiovascular Disease Physician
- Hammond, LA
- NPI 1881696078
-
- Interventional Cardiology Physician
- Decatur, TX
- NPI 1750355103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525132800000",
"number": "1902321755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 GAINESVILLE DR",
"city": "GRAY",
"state": "LA",
"postal_code": "703594525",
"telephone_number": "985-381-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 JACKSON ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012729",
"telephone_number": "985-413-9770",
"fax_number": "985-259-8771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER DIAGNOSTIC SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-12",
"last_updated": "2018-05-01",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "ROWDEN",
"authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "985-381-6451",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RCS"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.