PALMETTO DIAGNOSTICS, LLC (NPI# 1417414426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417414426 |
Entity Type | Organization |
Organization Name | PALMETTO DIAGNOSTICS, LLC |
Practice Address |
222 Creek Stone Dr West Monroe LA 71291-0709 |
Practice Telephone | 3183816152 |
Practice Fax Number | 8553731948 |
Mailing Telephone | 3183816152 |
Enumeration Date | 2019-02-26 |
Last Update Date | 2020-01-02 |
Authorized Official Name | MICHAEL AUDIE MCGRAW (MANAGING MEMBER) |
Authorized Official Telephone | 3183816152 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114318813 | Palmetto Diagnostics, LLC | Physiological Laboratory | 1060 Chris Cir, Suite D, West Columbia, SC 29169-4773 | 2015-02-17 |
Street Address |
222 CREEK STONE DR |
City | WEST MONROE |
State | LA |
Zip Code | 71291-0709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
Find all providers in zip 71291 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629149414 | X-press Ray of Ouachita LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 Heritage Drive, West Monroe, LA 71291-1420 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602592 | Healthy Heart Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 119 E Main St Ste 200, Lafayette, LA 70501-6921 | 2020-06-08 |
1861011447 | Medlabs Express,inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2208a Bonaventure Ct, Alexandria, LA 71301-3374 | 2020-04-13 |
1861051831 | Jason Allen | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 120 Longfellow Dr, Lafayette, LA 70503-6611 | 2019-06-12 |
1619432382 | Prevail Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8644 Eunice Iota Hwy, Eunice, LA 70535-6749 | 2019-02-06 |
1023492832 | D.r. Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 319 Hedge Hill Cv, Calhoun, LA 71225-8710 | 2015-07-13 |
1689065880 | Lisa Tebault | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11650 West Barrington Dr, New Orleans, LA 70128 | 2015-02-10 |
1982983276 | Local Portable Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 165 Rock Hill Ln, Noble, LA 71462-3036 | 2011-08-04 |
1588955009 | Vascular Testing of Acadiana | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 386 Roxsan Rd, Sunset, LA 70584-5165 | 2011-05-02 |
1437469004 | Mobile X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9376 Mansfield Rd, Suite B, Shreveport, LA 71118-3181 | 2010-10-18 |
1437476793 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2010-04-27 |
Find all providers with the same taxonomy |
City | WEST MONROE |
Zip Code | 71291 |
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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.