Deer Creek Imaging Center

LBN: Deer Creek Imaging Center
Deer Creek Imaging Center is an health care organization with primary practice located at 301 W Fertitta Blvd Ste 1 , Leesville LA 71446-4665. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Deer Creek Imaging Center can be contacted via phone (337) 392-1363, or through Lord, Gregory D via phone (337) 238-0167.

Contact Information

Primary practice address
301 W Fertitta Blvd Ste 1 Leesville LA 71446-4665
Phone: (337) 392-1363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lord, Gregory D Doctor of Medicine (MD)
Phone: (337) 238-0167

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1013900760
LBN Legal business name Deer Creek Imaging Center
DBA Doing business as
Authorized official Lord, Gregory D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013900760 NPPES
Louisiana MEDICAID 1449253

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