BAYOU IMAGING & INTERVENTIONS LLC NPI 1992048177

NPI Information

  • NPI: 1992048177
  • Provider Name: BAYOU IMAGING & INTERVENTIONS, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 708 N ASHLEY RIDGE LOOP
    SHREVEPORT, LA
    ZIP 71106
  • Phone: (318) 798-4539

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NPI Details

BAYOU IMAGING & INTERVENTIONS, LLC is a diagnostic radiology radiology in Shreveport, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BAYOU IMAGING & INTERVENTIONS, LLC NPI is 1992048177. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

708 N ASHLEY RIDGE LOOP
SHREVEPORT, LA
ZIP 71106
Phone: (318) 798-4539
Fax: (318) 798-4601

The provider's authorized official is Ginger Auer Black .
The authorized official title is Md/owner and has the following contact phone number (318) 210-3315.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 3/21/2016.

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
12085R0202XRadiologyDiagnostic Radiology200722LOUISIANAYes

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
12411187MEDICAIDLOUISIANA
2289971MEDICARE 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

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