PET CENTER OF LOUISIANA LLC (NPI# 1093711426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093711426 |
| Entity Type | Organization |
| Organization Name | PET CENTER OF LOUISIANA LLC |
| Practice Address |
1495 Gause Blvd Slidell LA 70458-2205 |
| Mailing Address |
Po Box 6315 Metairie LA 70009-6315 |
| Practice Telephone | 5048878728 |
| Practice Fax Number | 5048878702 |
| Mailing Telephone | 9853458867 |
| Mailing Fax Number | 9855425322 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERTO MARTINEZ JR. (PARTNER) |
| Authorized Official Telephone | 5048878728 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
445353 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1441520 | 05 |
| Street Address |
1495 GAUSE BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619241 | Thompson Mack Dietz Iv | Radiology | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2005-06-15 |
| 1114976263 | Slidell Memorial Hospital | General Acute Care Hospital | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2006-05-08 |
| 1487650933 | Delta Digital Diagnostics LLC | Radiology | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2005-06-21 |
| 1689679615 | Thaddeus Lamar Teaford | Radiology | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2005-06-16 |
| 1447255450 | Steven David Yellin | Radiology | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154533 | Advanced Imaging Center, LLC | Clinic/Center | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770830606 | Cardiac Imaging Inc | Clinic/Center | 5085 Iberville Street, Suite A, Saint Gabriel, LA 70776-4947 | 2012-08-09 |
| 1154685857 | Nucleonics of Acadiana, LLC | Clinic/Center | 131 N. Roclay Dr., Lafayette, LA 70578 | 2012-06-27 |
| 1710114723 | Hobbs-rogers Organiaztion, LLC | Clinic/Center | 9021 Cherry Ridge Blvd, Greenwood, LA 71033-3054 | 2009-06-17 |
| 1871732305 | Kevin Investments Inc. | Clinic/Center | 5001 Lapalco Blvd, Suite C, Marrero, LA 70072-4235 | 2009-02-06 |
| 1073642906 | Dmx Diagnostics of Baton Rouge, Inc | Clinic/Center | 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 | 2007-03-05 |
| 1811035017 | Louisiana Cardiac Imaging LLC | Clinic/Center | Hwy 250 3048, 3048, Rayville, LA 71269-3624 | 2007-02-01 |
| 1003976176 | Sono Tech Enterprises, Inc. | Clinic/Center | 14 Eagle Trace Dr, New Orleans, LA 70131-3320 | 2006-12-11 |
| 1649212002 | La Imaging Services LLC | Clinic/Center | 2209 N Bolton Ave, Alexandria, LA 71303-4408 | 2006-06-11 |
| 1588633325 | Mobile Care, Inc | Clinic/Center | 110 Hugh Wallis Rd, Lafayette, LA 70508-2107 | 2006-03-15 |
| 1497135362 | Early Detection Screenings | Clinic/Center | 110 Hospital Dr, Lafayette, LA 70503-2819 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.