ASHLEY RIDGE IMAGING CENTER, LLC (NPI# 1720050370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720050370 |
Entity Type | Organization |
Organization Name | ASHLEY RIDGE IMAGING CENTER, LLC |
Practice Address |
463 Ashley Ridge Blvd Suite 200 Shreveport LA 71106-7231 |
Practice Telephone | 3188694747 |
Practice Fax Number | 3188694748 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2010-07-24 |
Authorized Official Name | MRS. TAMMY M. SMITH (CFO) |
Authorized Official Telephone | 3188694747 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
0188186-5 | LA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | P00084518 | 01 | |
LA | 1447463 | 05 |
Street Address |
463 ASHLEY RIDGE BLVD SUITE 200 |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-7231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164482725 | David A Kaufman | Allergy & Immunology | 463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106-7231 | 2006-03-27 |
1700138781 | Breatheamerica Shreveport Inc | Allergy & Immunology | 463 Ashley Ridge Blvd, Suite 100, Shreveport, LA 71106-7231 | 2012-10-15 |
1568789667 | Christopher Robert Phillips | Physical Therapist | 463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106-7231 | 2010-04-28 |
1598881484 | Kenya Leigh Soto | Speech-Language Pathologist | 463 Ashley Ridge Blvd, Shreveport, LA 71106-7231 | 2007-03-22 |
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 |
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.