1053618280 NPI number — PRECISION IMAGING, LLC

Table of content: (NPI 1053618280)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053618280 NPI number — PRECISION IMAGING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRECISION IMAGING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053618280
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
489 SECLUDED GROVE LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISONVILLE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70447-3331
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-807-3307
Provider Business Mailing Address Fax Number:
985-809-7943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
489 SECLUDED GROVE LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISONVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70447-3331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-807-3307
Provider Business Practice Location Address Fax Number:
985-809-7943
Provider Enumeration Date:
02/24/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
YAEGER
Authorized Official First Name:
DARREN
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT/ULTRASOUND TECHNOLOGIST
Authorized Official Telephone Number:
985-807-3307

Provider Taxonomy Codes

  • Taxonomy code: 246XS1301X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2471S1302X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2471V0105X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)