ASCENSION OPEN MRI LLC. NPI 1235259326

NPI Information

NPI: 1235259326
Provider Name: ASCENSION OPEN MRI, LLC.
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 19D1042417

Address:
2622 SOUTH RUBY AVE
GONZALES, LA
ZIP 70737
Phone: (225) 450-6125
Get Directions

ASCENSION OPEN MRI, LLC. is a magnetic resonance imaging (mri) clinic center in Gonzales, LA. ASCENSION OPEN MRI, LLC. NPI is 1235259326. The provider is registered as an organization entity type.

The provider's business location address is:

2622 SOUTH RUBY AVE
GONZALES, LA
ZIP 70737
Phone: (225) 450-6125
Fax: (225) 450-6327

The provider's authorized official is Tamra Gauthier .
The authorized official title is Administrator and has the following contact phone number (225) 930-0060.

The CLIA number assigned to this NPI record is 19D1042417 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/30/2007 and was last updated on 11/23/2015.

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	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			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	=========	OTHER	LOUISIANA	TAX ID
2	1029742	MEDICAID	LOUISIANA
3	5DA37	MEDICARE PIN	LOUISIANA

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: 5/5/2024

NPI Synchronization or Removal

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