National Provider Identifier Database

BAYOU IMAGING INTERVENTIONS LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BAYOU IMAGING & INTERVENTIONS, LLC
708 N ASHLEY RIDGE LOOP
SHREVEPORT, LA71106
Phone: 318-798-4539
Fax: 318-798-4601
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for BAYOU IMAGING & INTERVENTIONS, LLC

NPI Number 1992048177
Legal business name
LBN
BAYOU IMAGING & INTERVENTIONS, LLC
Authorized official GINGER BLACK - (MD/OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/05/2013
Last updated 03/21/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 200722
  • LA Medicaid: 2411187

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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