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EXPRESS CARE DIAGNOSTICS OF SOUTHWEST LA. INC NPI 1366411191


NPI Information

NPI: 1366411191
Provider Name: EXPRESS CARE DIAGNOSTICS OF SOUTHWEST LA., INC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
110 HUGH WALLIS RD
LAFAYETTE, LA
ZIP 70508
Phone: (337) 289-5456
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EXPRESS CARE DIAGNOSTICS OF SOUTHWEST LA., INC is a radiology and mobile clinic center in Lafayette, LA. EXPRESS CARE DIAGNOSTICS OF SOUTHWEST LA., INC NPI is 1366411191. The provider is registered as an organization entity type.

The provider's business location address is:

110 HUGH WALLIS RD
LAFAYETTE, LA
ZIP 70508-107
Phone: (337) 289-5456
Fax: (337) 289-0119

The provider's authorized official is Shelia Lauw .
The authorized official title is Owner and has the following contact phone number (281) 346-0801.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 11/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119817MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21904571MEDICAIDLOUISIANA
343784OTHERLOUISIANABLUE CROSS
4630000386OTHERLOUISIANARAILROAD MEDICARE

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

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