BATON ROUGE RADIOLOGY GROUP INC NPI 1407880339

NPI Information

NPI: 1407880339
Provider Name: BATON ROUGE RADIOLOGY GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 19D1076794

Address:
5422 DIJON DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 769-9337
Get Directions

BATON ROUGE RADIOLOGY GROUP INC is a diagnostic radiology radiology in Baton Rouge, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BATON ROUGE RADIOLOGY GROUP INC NPI is 1407880339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5422 DIJON DR
BATON ROUGE, LA
ZIP 70808-315
Phone: (225) 769-9337

The provider's authorized official is Julie C Brignac .
The authorized official title is Corporate Compliance Manager and has the following contact phone number (225) 769-6700.

The CLIA number assigned to this NPI record is 19D1076794 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/2/2007.

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	5B039	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	1145998	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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