DEER CREEK IMAGING CENTER NPI 1013900760

NPI Information

  • NPI: 1013900760
  • Provider Name: DEER CREEK IMAGING CENTER
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Address: 301 W FERTITTA BLVD STE 1
    LEESVILLE, LA
    ZIP 71446
  • Phone: (337) 392-1363

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NPI Details

DEER CREEK IMAGING CENTER is a magnetic resonance imaging (mri) clinic center in Leesville, LA. DEER CREEK IMAGING CENTER NPI is 1013900760. The provider is registered as an organization entity type.

The provider's business location address is:

301 W FERTITTA BLVD STE 1
LEESVILLE, LA
ZIP 71446-665
Phone: (337) 392-1363

The provider's authorized official is Gregory D Lord .
The authorized official title is Managing Director and has the following contact phone number (337) 238-0167.

The enumeration date for this NPI number is 8/29/2005 and was last updated on 8/22/2020.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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
11449253MEDICAIDLOUISIANA

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: 3/30/2025

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