EVANGELINE CLINICAL SERVICES, INC. (NPI# 1548656465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548656465 |
| Entity Type | Organization |
| Organization Name | EVANGELINE CLINICAL SERVICES, INC. |
| Other Organization Name | CHRISTUS ADVANCED DIAGNOSTICS |
| Practice Address |
855 Pierremont Rd Suite 105 Shreveport LA 71106-2084 |
| Practice Telephone | 3188617413 |
| Practice Fax Number | 3188655792 |
| Mailing Telephone | 3188617413 |
| Mailing Fax Number | 3188655792 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | SCOTT MERRYMAN (CFO) |
| Authorized Official Telephone | 3185617188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHRISTUS Advanced Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510280 | Evangeline Clinical Services, Inc. | Emergency Medicine | 801 Poinciana Ave, Mamou, LA 70554-2243 | 2015-06-16 |
| Street Address |
855 PIERREMONT RD SUITE 105 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108578 | Open Mri of Northwest Louisiana LLC | Radiology | 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 | 2005-07-15 |
| 1831438027 | Wk Eye Center At Towne Oaks | Optometrist | 855 Pierremont Rd, Suite 102, Shreveport, LA 71106-2040 | 2013-02-07 |
| 1134260847 | Kitty A. Roark | Prosthetic/Orthotic Supplier | 855 Pierremont Rd, Suite 126, Shreveport, LA 71106-2084 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508402546 | Christus Health Northern Louisiana | Clinic/Center | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2019-11-25 |
| 1720050370 | Ashley Ridge Imaging Center, LLC | Clinic/Center | 463 Ashley Ridge Blvd, Suite 200, Shreveport, LA 71106-7231 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568883122 | Palafox Leasing LLC | Clinic/Center | 42078 Veterans Ave Ste F, Hammond, LA 70403-1490 | 2013-12-30 |
| 1841556214 | Standup Open Mri Centers of La, LLC | Clinic/Center | 4349 Loveland St., Metairie, LA 70006 | 2012-04-10 |
| 1528294956 | South East Imaging, LLC | Clinic/Center | 39189 Oak St, Pearl River, LA 70452-5031 | 2009-05-29 |
| 1427262567 | St. Bernard Open Mri & Imaging Center LLC | Clinic/Center | 617 E Judge Perez Dr, Chalmette, LA 70043-5260 | 2007-05-09 |
| 1235259326 | Ascension Open Mri, LLC. | Clinic/Center | 2622 South Ruby Ave, Gonzales, LA 70737 | 2007-03-30 |
| 1134278328 | Magnolia Diagnostics Inc | Clinic/Center | 2700 Cadiz St, New Orleans, LA 70115-6930 | 2007-01-09 |
| 1639243967 | Natchitoches Parish Hospital Service District | Clinic/Center | 105 East Fifth Street, Natchitoches, LA 71457-2154 | 2006-11-20 |
| 1942393699 | Bluebonnet Imaging Center, LLC | Clinic/Center | 4570 Bluebonnet Blvd., Suite B, Baton Rouge, LA 70809 | 2006-10-02 |
| 1093825689 | Specialty Imaging L.L.C. | Clinic/Center | 111 Mcmillan Rd, West Monroe, LA 71291-5319 | 2006-08-30 |
| 1699737486 | Nydic Open Mri of America-lafayette, LLC | Clinic/Center | 600 Guilbeau Rd, Suite 6, Lafayette, LA 70506-8405 | 2006-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.