Organization Active NPI

Alliance Medical Diagnostics LLC

  • Neurology Physician
  • Jefferson, LA
National Provider Identifier
1972696193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ALLIANCE MEDICAL DIAGNOSTICS LLC
Practice address
1901 Jefferson Hwy
Suite B
Jefferson, LA 70121-3815
Phone
(504) 739-9589
Fax
(504) 739-9589
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Boros
Title
Owner
Phone
(504) 739-9589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

1901 Jefferson Hwy
Suite B
Jefferson, LA 70121-3815

Mailing address

1901 Jefferson Hwy
Suite B
Jefferson, LA 70121-3815
Phone (504) 739-9589

National Provider Directory

National Provider Directory

Locations

1901 Jefferson Hwy
Ste B
Jefferson, LA 70121
Phone (504) 739-9589

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": "1598054400000",
    "number": "1972696193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JEFFERSON HWY",
            "address_2": "SUITE B",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213815",
            "telephone_number": "504-739-9589",
            "fax_number": "504-739-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JEFFERSON HWY",
            "address_2": "SUITE B",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213815",
            "telephone_number": "504-739-9589",
            "fax_number": "504-739-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOROS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-739-9589"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.