Northlake Radiology Consultants, Apmc

Radiology, Diagnostic Radiology in Slidell, LA. Organization (NPI-2).

NPI number1083662746

StatusActive

Last updated in NPPESJan 12, 2010

Details

NPI: 1083662746
Entity type: Organization (NPI-2)
Legal business name: Northlake Radiology Consultants, Apmc
Organization subpart: No
Enumeration date: May 5, 2006
Last updated: Jan 12, 2010

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	–	–	Yes

Practice location

1001 Gause Blvd
Slidell, LA 70458-2939

Phone 985-649-8545

Mailing address

Po Box 2710
Slidell, LA 70459-2710

Phone 985-646-0691 · Fax 985-646-0750

Authorized official

Klar A Rovira
Partner
9856460691

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