FAIRWAY IMAGING, LLC (NPI# 1376650820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376650820 |
| Entity Type | Organization |
| Organization Name | FAIRWAY IMAGING, LLC |
| Other Organization Name | PREMIER MRI 4 U |
| Practice Address |
1200 Pinnacle Parkway Suite 5 Covington LA 70433-9169 |
| Practice Telephone | 9858096744 |
| Practice Fax Number | 9658096745 |
| Mailing Telephone | 9858096744 |
| Mailing Fax Number | 9858096745 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | MONICA RESTER (ADMINISTRATOR) |
| Authorized Official Telephone | 9858096744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Premier MRI 4 U | Doing Business As Name - Organization |
| Street Address |
1200 PINNACLE PARKWAY SUITE 5 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-9169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871764191 | Northshore Interventional Pain Mgmt., Apmc | Physiological Laboratory | 7015 Highway 190 East Service Rd, Suite 201, Covington, LA 70433-4960 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780057984 | Neuralogix Management, LLC | Physiological Laboratory | 2612 Severn Ave, Suite B, Metairie, LA 70002-5935 | 2015-11-10 |
| 1235470006 | Sleep Scores, LLC | Physiological Laboratory | 19263 Chardonnay Ave, Baton Rouge, LA 70817-7670 | 2013-03-04 |
| 1720334006 | Performance Screening | Physiological Laboratory | 2438 Albany St, Ste A, Kenner, LA 70062-5244 | 2012-07-24 |
| 1306117460 | Skinpath Diagnostics LLC | Physiological Laboratory | 3000 Knight Street, Bldg 5 Suite 220, Shreveport, LA 71105 | 2012-01-21 |
| 1710277793 | Home Testing Management | Physiological Laboratory | 155 W Hickory St, Ponchatoula, LA 70454-3215 | 2011-04-12 |
| 1245557701 | Global Neuro-diagnostics, Lp | Physiological Laboratory | 3939 Lakeshore Dr, Suite 4, Shreveport, LA 71109-1925 | 2010-04-23 |
| 1952626509 | Vital Health Screenings, LLC | Physiological Laboratory | 18448 Wildlife Way Dr, Baton Rouge, LA 70817-3992 | 2010-04-06 |
| 1295911527 | Mag LLC | Physiological Laboratory | 11737 Wentling Avenue, Suite A, Baton Rouge, LA 70816-6053 | 2008-01-16 |
| 1902959752 | Sleepworks, Inc | Physiological Laboratory | 5150 Highway 22 Ste C15, Mandeville, LA 70471-2674 | 2007-01-18 |
| 1679683403 | Vascular Associates Laboratory | Physiological Laboratory | 8595 Picardy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 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.