PROFESSIONAL RADIOLOGY SERVICES LLC


Address: 100 Medical Center Dr, Slidell, LA 70461-5520
Phone: 8002561152

PROFESSIONAL RADIOLOGY SERVICES LLC (NPI# 1114117850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114117850
Entity Type Organization
Organization Name PROFESSIONAL RADIOLOGY SERVICES LLC
Practice Address 100 Medical Center Dr
Slidell
LA 70461-5520
Mailing Address Po Box 15929
Baton Rouge
LA 70895-5929
Practice Telephone 8002561152
Practice Fax Number 2259307524
Mailing Telephone 8002561152
Mailing Fax Number 2259307524
Enumeration Date 2007-07-30
Last Update Date 2007-07-30
Authorized Official Name DR. DAVID J DONALDSON (MANAGING PARTNER)
Authorized Official Telephone 8002561152
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 100 MEDICAL CENTER DR
City SLIDELL
State LA
Zip Code 70461-5520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417586587 Ochsner Clinic LLC Internal Medicine 100 Medical Center Dr, Slidell, LA 70461-5520 2020-04-02
1972143337 Gianna Marie Redmond Dietitian, Registered 100 Medical Center Dr, Slidell, LA 70461-5520 2020-01-13
1740821933 Shelby Bateman Nurse Practitioner 100 Medical Center Dr, Slidell, LA 70461-5520 2019-09-30
1336701069 Tori Ann Daigrepont Nurse Practitioner 100 Medical Center Dr, Slidell, LA 70461 2019-07-02
1982199295 Renee Wales Morgan Nurse Practitioner 100 Medical Center Dr, Slidell, LA 70461-5520 2018-06-28
1508216144 Jessica Moran Suit Nurse Practitioner 100 Medical Center Dr, Slidell, LA 70461-5520 2016-06-14
1346625175 Jessica Koon Nurse Practitioner 100 Medical Center Dr, Slidell, LA 70461-5520 2015-07-22
1225419211 Brant P Domangue Emergency Medicine 100 Medical Center Dr, Slidell, LA 70461-5520 2015-06-15
1447630041 Siddartha Bhandary Internal Medicine 100 Medical Center Dr, Slidell, LA 70461 2015-06-09
1114305232 Xinyu Wu Pathology 100 Medical Center Dr, Slidell, LA 70461-5520 2015-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013553577 Kira Gilmore Smith Nurse Practitioner Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 2019-11-20
1104477256 Peter Khong Pharmacy 2915 Us-190, Mandeville, LA 70461 2019-09-20
1457844706 April Hughes Whitfield Counselor 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 2018-06-12
1154824761 Lisa Michele Mcclinton Counselor 1212 Montgomery Blvd, Slidell, LA 70461 2018-03-10
1952816902 Keiona Monae Thompson Counselor 1121 Clairise Ct, Slidell, LA 70461 2017-12-12
1275048688 Aisha Cade Counselor 250 Cross Gates Blvd, Slidell, LA 70461 2017-12-07
1598285405 Sureway Transits Non-emergency Medical Transport (VAN) 135 Rue De La Paix, Slidell, LA 70461 2017-06-21
1043743198 Natasha Hunter Counselor 1650 Barrymore St, Slidell, LA 70461 2017-04-05
1154873891 Chaise A Bennett Physical Therapist 2040 Gause Blvd, Suite 6, Slidell, LA 70461 2016-10-28
1104373539 Kaonta Simmons Counselor 2185 Wellington Ln, Slidell, LA 70461 2016-09-01
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942206487 Delta Diagnostics LLC Radiology 989 Robert Blvd., Slidell, LA 70458-2009 2005-06-21
1881699809 Jaime Santiago Tuazon Radiology 989 Robert Blvd, Slidell, LA 70458-2009 2005-06-16
1013912278 Arthur Jerry Satterlee Radiology 1310 Gause Blvd, Slidell, LA 70458-3016 2005-06-15
1083619241 Thompson Mack Dietz Iv Radiology 1495 Gause Blvd, Slidell, LA 70458-2205 2005-06-15
1215252341 William Alexander Shaffer Radiology 1001 Gause Blvd, Slidell, LA 70458-2939 2010-03-31
1700027786 Charles Barrett Smith Radiology 1001 Gause Blvd, Slidell, LA 70458-2939 2009-03-20
1841490422 Myles Christopher Digby Radiology 1001 Gause Blvd, Slidell, LA 70458-2939 2007-07-20
1992904627 Jeff S Redmond Radiology 1001 Gause Blvd, Slidell, LA 70458-2939 2007-07-12
1962502591 David Joseph Donaldson Jr. Radiology 100 Medical Center Drive, Slidell, LA 70461-5520 2006-09-24
1508964990 Laurie Ann Bishop Radiology 100 Medical Center Drive, Slidell, LA 70461-5520 2006-09-20
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Competitor

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City SLIDELL
Zip Code 70461

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Dataset Information

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.

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