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PET CENTER OF LOUISIANA LLC
NPI 1093711426
Clinic/Center - Radiology, Mobile in Slidell, LA

Active since June 21, 2005
1495 GAUSE BLVD, SLIDELL, LA 70458(504) 887-8728(504) 887-8702 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pet Center Of Louisiana Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PET CENTER OF LOUISIANA LLC (NPI 1093711426) is a healthcare organization registered as a radiology, mobile in Slidell, Louisiana and active in the NPI registry since June 2005. The organization lists Roberto Martinez, Partner, as its authorized official.

NPPES Registry Identity

NPI1093711426
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NamePET CENTER OF LOUISIANA LLC
Location Address1495 GAUSE BLVDSlidell, LA 70458-2205
Mailing AddressPo Box 6315Metairie, LA 70009-6315 · (985) 345-8867 · Fax (985) 542-5322
Phone(504) 887-8728
Fax(504) 887-8702
Organization SubpartNo
Authorized OfficialRoberto MartinezPartner · (504) 887-8728
Enumeration DateJune 21, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093711426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
License✔ Licensed in LA · 445353
1495 GAUSE BLVD, Slidell, LA 70458
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Other Identifiers 1

Medicaid1441520LA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMPSON MACK DIETZ IV MD
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (985) 405-5200
SLIDELL MEMORIAL HOSPITAL
General Acute Care Hospital
1495 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (985) 405-5200
DR. STEVEN DAVID YELLIN MD
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (985) 405-5200
DELTA DIGITAL DIAGNOSTICS LLC
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (985) 405-5200
DR. THADDEUS LAMAR TEAFORD MD
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (985) 405-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pet Center Of Louisiana LLC's NPI number?

The NPI number for Pet Center Of Louisiana LLC is 1093711426. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Pet Center Of Louisiana LLC located?

Pet Center Of Louisiana LLC is located at 1495 Gause Blvd, Slidell, LA 70458. The listed phone number is (504) 887-8728.

What is Pet Center Of Louisiana LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Pet Center Of Louisiana LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.