CARDIOVASCULAR IMAGING OF LOUISIANA (NPI# 1649594359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649594359 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR IMAGING OF LOUISIANA |
| Practice Address |
2671 Main Hwy Breaux Bridge LA 70517-6637 |
| Practice Telephone | 3372881551 |
| Mailing Telephone | 3372881551 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | ADAM BROUSSARD (CO OWNER) |
| Authorized Official Telephone | 3372881551 |
| 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 |
| Street Address |
2671 MAIN HWY |
| City | BREAUX BRIDGE |
| State | LA |
| Zip Code | 70517-6637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528789 | Celesta Bertrand Johnson | Nurse Practitioner | 1038 School Rd, Cecilia, LA 70517 | 2020-01-30 |
| 1265077804 | Kevin Labry | Physical Medicine & Rehabilitation | 1220 Berard St., Breaux Bridge, LA 70517 | 2019-11-07 |
| 1700398153 | Carmanlita Sampson | Case Manager/Care Coordinator | 1117 Saltmine Hwy, Breaux Bridge, LA 70517 | 2017-10-25 |
| 1457870297 | Denita Marie Derouselle | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517 | 2017-09-13 |
| 1831645191 | Breaux Bridge Mm LLC | Clinic/Center | 1451 E Bridge Street, Breaux Bridge, LA 70517 | 2016-08-28 |
| 1215395975 | Hoa Nguyen | Pharmacist | 1401 Rees Street, Breaux Bridge, LA 70517 | 2016-02-09 |
| 1407213960 | Tracy Senegal | Counselor | 241 Anderson St, Breaux Bridge, LA 70517 | 2016-01-27 |
| 1396138145 | Community Healthcare Clinic, LLC | Nurse Practitioner | 1421 Henderson Highway, Henderson, LA 70517 | 2015-03-17 |
| 1386989358 | Brittney Alexander Sanders | Nurse Practitioner | 1021 School Street, Breaux Bridge, LA 70517 | 2012-12-03 |
| 1437400967 | Lourdes After Hours LLC - Breaux Bridge | Clinic/Center | 1821 Rees St, Breaux Bridge, LA 70517 | 2012-09-24 |
| Find all providers in zip 70517 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BREAUX BRIDGE |
| Zip Code | 70517 |
Please comment or provide details below to improve the information on CARDIOVASCULAR IMAGING OF LOUISIANA.
| 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.