NORTHLAKE RADIOLOGY CONSULTANTS APMC NPI 1083662746

NPI Information

NPI: 1083662746
Provider Name: NORTHLAKE RADIOLOGY CONSULTANTS, APMC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1001 GAUSE BLVD
SLIDELL, LA
ZIP 70458
Phone: (985) 649-8545
Get Directions

NORTHLAKE RADIOLOGY CONSULTANTS, APMC is a diagnostic radiology radiology in Slidell, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHLAKE RADIOLOGY CONSULTANTS, APMC NPI is 1083662746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 GAUSE BLVD
SLIDELL, LA
ZIP 70458-939
Phone: (985) 649-8545

The provider's authorized official is Klar A Rovira .
The authorized official title is Partner and has the following contact phone number (985) 646-0691.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========003	OTHER		CHAMPUS
2	CQ2039	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA	RAILROAD
3	CI1439	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	RAILROAD
4	C02355	MEDICARE PIN	MISSISSIPPI
5	=========004	OTHER		CHAMPUS
6	05974773	MEDICAID	MISSISSIPPI
7	56681	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
8	09012709	MEDICAID	MISSISSIPPI
9	CI1518	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	RAILROAD
10	=========002	OTHER		CHAMPUS
11	=========0	OTHER	LOUISIANA	BLUE CROSS
12	08927838	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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