BEAUREGARD - VERNON MRI LLC NPI 1255330882

NPI Information

  • NPI: 1255330882
  • Provider Name: BEAUREGARD - VERNON MRI LLC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • CLIA Number: 19D2261898
  • Address: 600 S PINE ST
    MRI SUITE
    DERIDDER, LA
    ZIP 70634
  • Phone: (337) 462-9946

Map and Directions

Get Directions

NPI Details

BEAUREGARD - VERNON MRI LLC is a physiological laboratory in Deridder, LA. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. BEAUREGARD - VERNON MRI LLC NPI is 1255330882. The provider is registered as an organization entity type.

The provider's business location address is:

600 S PINE ST
MRI SUITE
DERIDDER, LA
ZIP 70634-942
Phone: (337) 462-9946
Fax: (337) 462-9947

The provider's authorized official is James W. Holmes .
The authorized official title is Chief Operating Officer and has the following contact phone number (337) 291-9161.

The CLIA number assigned to this NPI record is 19D2261898 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 2/13/2015.

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
1293D00000XPhysiological LaboratoryYes

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
15CF22MEDICARE PINLOUISIANA
21444561MEDICAIDLOUISIANA
3P00024301MEDICARE PINLOUISIANA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI