NORTHWEST IMAGING, LLC (NPI# 1568556256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568556256 |
| Entity Type | Organization |
| Organization Name | NORTHWEST IMAGING, LLC |
| Practice Address |
1460 E. Bert Kouns Industrial Loop Suite 708 Shreveport LA 71105 |
| Mailing Address |
3500 N. Causeway Blvd Suite 1000 Metairie LA 70002 |
| Practice Telephone | 3184251001 |
| Practice Fax Number | 3184255001 |
| Mailing Telephone | 5048381200 |
| Mailing Fax Number | 5048381239 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MRS. TAMRA S GAUTHIER (VICE PRESIDENT) |
| Authorized Official Telephone | 2259300060 |
| 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 | 1445045 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST IMAGING, LLC | 1020 Anderson Dr #205, Aberdeen, WA 98520 |
| Street Address |
1460 E. BERT KOUNS INDUSTRIAL LOOP SUITE 708 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265979561 | Total Spinal Imaging LLC | Clinic/Center | 1651 E 70th St, Unit 272, Shreveport, LA 71105-5115 | 2017-01-24 |
| 1730645201 | Willis Knighton Medical Center, Inc. | Clinic/Center | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2019-02-20 |
| 1437241130 | Biomedical Research Foundation of Northwest Louisiana | Clinic/Center | 1505 Kings Hwy, Shreveport, LA 71103-4228 | 2006-09-29 |
| 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 |
| 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 |
| 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 |
| 1255360558 | Morehouse Computerized Imaging | Clinic/Center | 416 Gunby Ave, Bastrop, LA 71220-4406 | 2006-07-01 |
| 1598791188 | Ogh Imaging, LLC | Clinic/Center | 1341 1-49 S. Service Rd, Grand Coteau, LA 70541 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.