Organization Active NPI

Premier Diagnostic Solutions, LLC

  • Diagnostic Ultrasound Physician
  • Thibodaux, LA
National Provider Identifier
1902321755
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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

Updated by the provider on May 1, 2018

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

Authorized official

Name
Mrs. Casey Rowden Duncan, RCSNPI 1245750124
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)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20180129001863 LA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5193085850 Practice locations: Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.