ST. CHRISTOPHER'S IMAGING, LLC (NPI# 1457741852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741852 |
| Entity Type | Organization |
| Organization Name | ST. CHRISTOPHER'S IMAGING, LLC |
| Practice Address |
1725 Elizabeth Ave Shreveport LA 71101-4502 |
| Practice Telephone | 3186589637 |
| Practice Fax Number | 3184259189 |
| Mailing Telephone | 3186589637 |
| Mailing Fax Number | 3184259189 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | MR. CHRISTOPHER A SANTORA (MANAGING PARTNER) |
| Authorized Official Telephone | 3186589637 |
| Authorized Official Credential | RDMS,RVT,ARRT |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. CHRISTOPHER'S IMAGING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 01957841 | LA | Suppliers |
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2158554 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1538537436 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2015-09-09 |
| Street Address |
1725 ELIZABETH AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1538537436 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1992856488 | Mobile X-ray Services of Shreveport Bossier Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 670 Albermarle Drive, Suite 202, Shreveport, LA 71106 | 2007-01-13 |
| 1538537436 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2015-09-09 |
| 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 |
| 1417414426 | Palmetto Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 Creek Stone Dr, West Monroe, LA 71291-0709 | 2019-02-26 |
| 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 |
| 1649594359 | Cardiovascular Imaging of Louisiana | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2671 Main Hwy, Breaux Bridge, LA 70517-6637 | 2010-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on ST. CHRISTOPHER'S IMAGING, LLC.
| 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.