DYNAMIC SPINAL IMAGING OF SWLA, LLC (NPI# 1972051548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972051548 |
| Entity Type | Organization |
| Organization Name | DYNAMIC SPINAL IMAGING OF SWLA, LLC |
| Practice Address |
805 W Bayou Pines Dr Suite D Lake Charles LA 70601-9605 |
| Practice Telephone | 3376026300 |
| Practice Fax Number | 3376026339 |
| Mailing Telephone | 3376026300 |
| Mailing Fax Number | 3376026339 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | DR. JOHN R CONDOS (PRESIDENT) |
| Authorized Official Telephone | 3376026300 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
805 W BAYOU PINES DR SUITE D |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437172822 | Louisiana Pet/ct Imaging of Lake Charles. LLC | Clinic/Center | 1750 Ryan St, Lake Charles, LA 70601-6050 | 2006-07-26 |
| 1750622098 | Imperial Health | Clinic/Center | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2013-03-12 |
| 1124292115 | Outpatient Diagnostic Imaging | Clinic/Center | 3101 Lake St, Lake Charles, LA 70601-8337 | 2008-04-21 |
| 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 |
| 1265979561 | Total Spinal Imaging LLC | Clinic/Center | 1651 E 70th St, Unit 272, Shreveport, LA 71105-5115 | 2017-01-24 |
| 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 |
| 1568556256 | Northwest Imaging, LLC | Clinic/Center | 1460 E. Bert Kouns Industrial Loop, Suite 708, Shreveport, LA 71105 | 2006-10-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on DYNAMIC SPINAL IMAGING OF SWLA, LLC.
| 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.