Active NPI
Bluebonnet Imaging Center, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- BLUEBONNET IMAGING CENTER, LLC
- Practice address
- 4570 Bluebonnet Blvd.
Suite B
Baton Rouge, LA 70809 - Phone
- (225) 298-3223
- Fax
- (225) 298-5474
- NPI assigned
- Oct 2, 2006
- Last updated
- Oct 9, 2024
- 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
- John P Stagg
- Title
- Ceo
- Phone
- (225) 270-7077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
4570 Bluebonnet Blvd.
Suite B
Baton Rouge, LA 70809
Mailing address
4241 Veterans Memorial Blvd Ste 200
Metairie, LA 70006-5430
Phone (504) 459-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070710000949 | LA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3779683461 | Practice locations: Baton Rouge, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1081861 | Bluebonnet Imaging Center | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4570 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 767-8550
Practitioners & affiliated clinicians
Practitioners 60
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1942393699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 VETERANS MEMORIAL BLVD STE 200",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700065430",
"telephone_number": "504-459-3220",
"fax_number": "504-883-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 BLUEBONNET BLVD.",
"address_2": "SUITE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-298-3223",
"fax_number": "225-298-5474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEBONNET IMAGING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "STAGG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-270-7077"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Kenneth McIver Blue Jr., MD
- Bluebonnet Dental Care
- Bluebonnet Dental Care @ Millbrook
- Bluebonnet Family Clinic, LLC
- Bluebonnet Healthcare, Inc. (Healing Hands Home Health)
- Bluebonnet Surgical Center LLC
- Bluebonnet Surgical Center LLC
- Bluebonnet Vision
- Katharine Elizabeth Blum, LPC
- Vincent Michael Blum, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.