ACADIANA IMAGING SERVICES LLC NPI 1104413806

NPI Information

NPI: 1104413806
Provider Name: ACADIANA IMAGING SERVICES LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 19D2215434

Address:
1025 KALISTE SALOOM RD STE 101
LAFAYETTE, LA
ZIP 70508
Phone: (337) 237-3424
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ACADIANA IMAGING SERVICES LLC is a radiology clinic center in Lafayette, LA. ACADIANA IMAGING SERVICES LLC NPI is 1104413806. The provider is registered as an organization entity type.

The provider's business location address is:

1025 KALISTE SALOOM RD STE 101
LAFAYETTE, LA
ZIP 70508-963
Phone: (337) 237-3424

The provider's authorized official is Patrick Gandy .
The authorized official title is Coo and has the following contact phone number (337) 289-7743.

The CLIA number assigned to this NPI record is 19D2215434 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 7/1/2022.

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	261QR0200X	Clinic/Center	Radiology			Yes

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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