MOREHOUSE COMPUTERIZED IMAGING (NPI# 1255360558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255360558 |
| Entity Type | Organization |
| Organization Name | MOREHOUSE COMPUTERIZED IMAGING |
| Practice Address |
416 Gunby Ave Bastrop LA 71220-4406 |
| Mailing Address |
1601 Lamy Ln Monroe LA 71201-3735 |
| Practice Telephone | 3182813088 |
| Practice Fax Number | 3182815832 |
| Mailing Telephone | 3183873453 |
| Mailing Fax Number | 3183239045 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | EDWARD CHORETTE (PHYSICIAN/ SUPERVISING PHYSICIAN) |
| Authorized Official Telephone | 3183873453 |
| Authorized Official Credential | M.D. |
| 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 | 1945617 | 05 |
| Street Address |
416 GUNBY AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1295015055 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 101, Bastrop, TX 78602-5156 | 2011-08-25 |
| 1427353770 | Rockdale Blackhawk LLC | Clinic/Center | 3101 Highway 71 E, Suite 108, Bastrop, TX 78602-5156 | 2011-01-18 |
| 1730212473 | Bastrop Open Mri L L P Partnership | Clinic/Center | 3101 Highway 71 E, Suite #108, Bastrop, TX 78602-5156 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062994 | Acquisitions of Developing Organizations, L.L.C. | Clinic/Center | 316 Civic Center Blvd, Houma, LA 70360-6088 | 2018-08-08 |
| 1265979561 | Total Spinal Imaging LLC | Clinic/Center | 1651 E 70th St, Unit 272, Shreveport, LA 71105-5115 | 2017-01-24 |
| 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.