ST. MARY'S IMAGING CENTER (NPI# 1124044748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124044748 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S IMAGING CENTER |
| Practice Address |
611 Saint Landry St Lafayette LA 70506-4627 |
| Mailing Address |
411 Saint Landry St Lafayette LA 70506-4623 |
| Practice Telephone | 3372892177 |
| Practice Fax Number | 3372892170 |
| Mailing Telephone | 3372892177 |
| Mailing Fax Number | 3372892170 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM BARROW (CEO) |
| Authorized Official Telephone | 3372892000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1797596 | 05 |
| Street Address |
611 SAINT LANDRY ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118094 | Our Lady of Lourdes Regional Medical Center | Skilled Nursing Facility | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2005-10-13 |
| 1962708842 | Jessica Lynn Turner | Nurse Anesthetist, Certified Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2011-02-09 |
| 1497904718 | Hospitalist Medicine Physicians of Louisiana, LLC | Internal Medicine | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2008-09-10 |
| 1972706364 | Donna Guidry | Dietitian, Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-06-06 |
| 1639372014 | Aimee M Courville | Dietitian, Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-06-06 |
| 1427101914 | Hugh James Francis Robertson | Radiology | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-01-19 |
| 1073677340 | Joy Jeanette Ducote | Dietitian, Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-12-21 |
| 1821177486 | Jess Crosier | Pathology | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-11-03 |
| 1023104551 | Our Lady of Lourdes Regional Medical Center | General Acute Care Hospital | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-10-04 |
| 1104938273 | Donna F Comeaux | Nurse Anesthetist, Certified Registered | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1487202552 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2019-08-30 |
| 1710065750 | Greater Lafayette Health Services | Clinic/Center | 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438 | 2006-11-01 |
| 1396849881 | Lafayette General Imaging LLC | Clinic/Center | 1211 Coolidge Blvd, Lafayette, LA 70503-2636 | 2006-09-12 |
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| 1770062994 | Acquisitions of Developing Organizations, L.L.C. | Clinic/Center | 316 Civic Center Blvd, Houma, LA 70360-6088 | 2018-08-08 |
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| 1760777866 | Digital Imaging Solutions, LLC | Clinic/Center | 2340 S Range Ave, Denham Springs, LA 70726-5216 | 2011-06-16 |
| 1659664480 | Crowley Cardiac Wellness LLC | Clinic/Center | 1113 E Northern Ave, Crowley, LA 70526-3035 | 2011-05-26 |
| 1811189947 | Physicians Imaging - Houma, LLC | Clinic/Center | 132 Valhi Lagoon Crossing, Houma, LA 70360 | 2007-08-13 |
| 1942341748 | Houma Medical Imaging, LLC | Clinic/Center | 316 Civic Center Drive, Houma, LA 70360 | 2007-02-12 |
| 1568556256 | Northwest Imaging, LLC | Clinic/Center | 1460 E. Bert Kouns Industrial Loop, Suite 708, Shreveport, LA 71105 | 2006-10-03 |
| 1437172822 | Louisiana Pet/ct Imaging of Lake Charles. LLC | Clinic/Center | 1750 Ryan St, Lake Charles, LA 70601-6050 | 2006-07-26 |
| 1528081924 | Ark-la-tex Diagnostics, Inc. | Clinic/Center | 5413 Jaskson Street Ext., Alexandria, LA 71303 | 2006-07-26 |
| 1093738478 | Louisiana Pet Imaging of Alexandria, LLC | Clinic/Center | 5419a Jackson Street Ext, Alexandria, LA 71303-2322 | 2006-07-26 |
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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.