Baton Rouge Imaging | |
8044 Summa Ave Baton Rouge LA 70809-3411 | |
(225) 761-7278 | |
(225) 767-8121 |
Full Name | Baton Rouge Imaging |
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Speciality | Clinic/Center |
Location | 8044 Summa Ave, Baton Rouge, Louisiana |
Authorized Official Name and Position | Edward R Asaro (PRESIDENT) |
Authorized Official Contact | 5044543600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baton Rouge Imaging 8044 Summa Ave Baton Rouge LA 70809-3411 Ph: (225) 761-7278 | Baton Rouge Imaging 8044 Summa Ave Baton Rouge LA 70809-3411 Ph: (225) 761-7278 |
NPI Number | 1710093687 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2769461862 |
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Medicare Enrollment ID | O20040714000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710093687 | NPI | - | NPPES |
1948578 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael D Hall |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528061058 PECOS PAC ID: 3274420153 Enrollment ID: I20040304000100 |
Provider Name | William G Armington |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821095845 PECOS PAC ID: 4981592193 Enrollment ID: I20040309000860 |
Provider Name | Rodney W Burns |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164419370 PECOS PAC ID: 9234115403 Enrollment ID: I20040628001073 |
Provider Name | Warren J Green |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1174546386 PECOS PAC ID: 7911893821 Enrollment ID: I20041029000004 |
Provider Name | Steven W Pate |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1942223185 PECOS PAC ID: 1557323839 Enrollment ID: I20041029000008 |
Provider Name | Stephanie D Casey |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508870783 PECOS PAC ID: 5294736088 Enrollment ID: I20070824000051 |
Provider Name | William M Wilder |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730120312 PECOS PAC ID: 6406872134 Enrollment ID: I20090520000335 |
Provider Name | Jacob Elidge Enterkin |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306043096 PECOS PAC ID: 2769626530 Enrollment ID: I20180123003151 |
Provider Name | Hunter Thomas Christy |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699162206 PECOS PAC ID: 5698073211 Enrollment ID: I20210616002306 |
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