GULF COAST MOBILE IMAGING (NPI# 1659425544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659425544 |
| Entity Type | Organization |
| Organization Name | GULF COAST MOBILE IMAGING |
| Practice Address |
174 Grant Road Opelousas LA 70570-0720 |
| Practice Telephone | 3375949637 |
| Mailing Telephone | 3375949637 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-05-07 |
| Authorized Official Name | MR. CALVIN DALE VIDRINE (OWNER) |
| Authorized Official Telephone | 3375949637 |
| Authorized Official Credential | PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 088168 | LA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1391531 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881713170 | Gulf Coast Mobile Imaging | Radiologic Technologist | 306 Griffith Dr, Rockport, TX 78382-7120 | 2007-03-28 |
| Street Address |
174 GRANT ROAD |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-0720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609179852 | Digital Imaging Services of Louisiana, LLC | Radiologic Technologist | 174 Grant Rd, Opelousas, LA 70570-0720 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124567649 | Albert Le | Radiologic Technologist | 606 Carol Dr, Jefferson, LA 70121-1706 | 2017-02-16 |
| 1902355332 | Tammany Boutte | Radiologic Technologist | 16218 W La Hwy 700, Kaplan, LA 70548-6449 | 2016-09-27 |
| 1699191106 | Julie Perry Normand | Radiologic Technologist | 5915 Cherokee Ln, Alexandria, LA 71301-2708 | 2014-03-07 |
| 1568694610 | Michael Gerhold | Radiologic Technologist | 50 Magnolia Gardens Dr, Covington, LA 70435-9520 | 2009-08-21 |
| 1962636233 | Jessica M Brock | Radiologic Technologist | 169 Highland Dr, Mandeville, LA 70471 | 2009-05-14 |
| 1235381245 | Rachelle Logwood Washington | Radiologic Technologist | 2100 Mediamolle Dr, New Orleans, LA 70114-3436 | 2008-10-21 |
| 1346499936 | Michael Rene Rogers | Radiologic Technologist | 1031 W 25th Ave, Covington, LA 70433-1321 | 2008-09-18 |
| 1831353895 | Maryanne L Colburn | Radiologic Technologist | 721 Park Ridge Dr, River Ridge, LA 70123-1182 | 2008-07-17 |
| 1477712156 | Physicians Imaging-houma Associates, LLC | Radiologic Technologist | 132 Valhi Lagoon Xing, Houma, LA 70360-3208 | 2008-06-06 |
| 1184763617 | Patrick Lee Miller | Radiologic Technologist | 1021 Coolidge Street, Lafayette, LA 70503 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
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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.