Active NPI
Local Portable Imaging LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Noble, LA
National Provider Identifier
1982983276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- 40577945Q
- Legal business name
- LOCAL PORTABLE IMAGING LLC
- Practice address
- 165 Rock Hill LN
Noble, LA 71462-3036 - Phone
- (318) 645-6525
- NPI assigned
- Aug 4, 2011
- 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
- Mike Gibbs
- Title
- Owner
- Phone
- (318) 645-6525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | 40577945Q | LA | Primary |
Addresses
Primary practice location
165 Rock Hill LN
Noble, LA 71462-3036
Mailing address
PO Box 23
Milam, TX 75959-0023
Phone (318) 645-6525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Portable X-ray supplier certification: CCN 19X0009840
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LOCAL PORTABLE IMAGING, LLC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Dec 20, 2011
- Last certification
- Nov 4, 2021
- Ownership / control type
- Partnership
- Facility address
- 165 Rock Hill Lane
Noble, LA 71462
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1982983276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "MILAM",
"state": "TX",
"postal_code": "759590023",
"telephone_number": "318-645-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ROCK HILL LN",
"city": "NOBLE",
"state": "LA",
"postal_code": "714623036",
"telephone_number": "318-645-6525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCAL PORTABLE IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-645-6525"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "LA",
"license": "40577945Q",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noble, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.