CARDIOVASCULAR IMAGING OF LOUISIANA
NPI 1649594359
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Breaux Bridge, LA

NPI Status: Active since March 24, 2010

Contact Information

2671 MAIN HWY
BREAUX BRIDGE, LA
ZIP 70517
Phone: (337) 288-1551

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  • Organization
  • Portable X-ray and/or Other Portable Dia...
  • CLIA Number: 19D2319611
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-03-2027

About CARDIOVASCULAR IMAGING OF LOUISIANA

This page provides the complete NPI Profile along with additional information for Cardiovascular Imaging Of Louisiana, a provider established in Breaux Bridge, Louisiana operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1649594359 assigned on March 2010. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Adam Broussard (Co Owner)

NPI
1649594359
Provider Name
CARDIOVASCULAR IMAGING OF LOUISIANA
Entity Type
Organization
Location Address
2671 MAIN HWY BREAUX BRIDGE, LA 70517
Location Phone
(337) 288-1551
Mailing Address
2671 MAIN HWY BREAUX BRIDGE, LA 70517
Mailing Phone
(337) 288-1551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2010
Last Update Date
08-16-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADAM BROUSSARD

Authorized Official Title
CO OWNER
Authorized Official Phone
(337) 288-1551

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2319611
Facility Type
Physician Office
Certificate Effective Date
March 04, 2025
Certificate Expiration Date
March 03, 2027
Laboratory Director
BOSE CHEERAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cardiovascular Imaging Of Louisiana to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649594359
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891098310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 0 + 9 + 8 + 3 + 1 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1649594359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649594359, enumerated in the NPI registry as an "organization" on March 24, 2010

The provider is located at 2671 Main Hwy Breaux Bridge, La 70517 and the phone number is (337) 288-1551

This medical organization specializes in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X

The provider's CLIA number is 19D2319611 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 24, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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