PHYSICIANS IMAGING - IBERVILLE LLC


Address: 59295 River West Drive, Suite D, Plaquemine, LA 70764
Phone: 2252380034

PHYSICIANS IMAGING - IBERVILLE LLC (NPI# 1205018389) 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) 1205018389
Entity Type Organization
Organization Name PHYSICIANS IMAGING - IBERVILLE LLC
Practice Address 59295 River West Drive
Suite D
Plaquemine
LA 70764
Practice Telephone 2252380034
Practice Fax Number 2252380064
Mailing Telephone 2252380034
Mailing Fax Number 2252380064
Enumeration Date 2007-11-30
Last Update Date 2007-11-30
Authorized Official Name DR. ELIAS J GERTH (OPERATIONS MANAGER)
Authorized Official Telephone 3057975541
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 59295 RIVER WEST DRIVE
SUITE D
City PLAQUEMINE
State LA
Zip Code 70764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942534441 Nicholas Cicero Iv Physical Therapist 59295 River West Drive, Plaquemine, LA 70764 2009-09-30
1528230471 Brandy L Neal Speech-Language Pathologist 59295 River West Drive, Plaquemine, LA 70764 2008-04-01

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City PLAQUEMINE
Zip Code 70764

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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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