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MD IMAGING SLIDELL
NPI 1114976263
General Acute Care Hospital in Slidell, LA

Active since May 08, 2006CLIA Certified · 3 labs
1495 GAUSE BLVD, SLIDELL, LA 70458(985) 405-5200(985) 405-5201 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Md Imaging Slidell NPPES

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

MD IMAGING SLIDELL (NPI 1114976263) is a healthcare organization registered as a general acute care hospital in Slidell, Louisiana and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Bill Davis, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114976263
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSLIDELL MEMORIAL HOSPITAL
Location Address1495 GAUSE BLVDSlidell, LA 70458-2205
Mailing Address1001 Gause BlvdSlidell, LA 70458-2939 · (985) 643-2200 · Fax (985) 649-8626
Phone(985) 405-5200
Fax(985) 405-5201
Organization SubpartNo
Authorized OfficialBill DavisChief Financial Officer · (985) 649-8504
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 10, 2008
✔ NPI 1114976263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in LA · 156
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1495 GAUSE BLVD, Slidell, LA 70458
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Other Names 1

Doing Business AsMd Imaging Slidell

Other Identifiers 4

Medicaid09077321MS
Medicaid1448516LA
Medicare PIN5DA22LA
Medicare PINP00324317LA

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 19D0460560

Slidell Memorial Hospital · Slidell, LA
Active · expires Feb 8, 2027
CLIA Number19D0460560
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Devin R. Broadwater
Laboratory Phone(985) 649-8543
Laboratory LocationSlidell Memorial Hospital1001 Gause Boulevard, Slidell, LA 70458
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 19D0460603

Slidell Memorial Hospital East · Slidell, LA
Active · expires Feb 27, 2027
CLIA Number19D0460603
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Devin R. Broadwater
Laboratory Phone(985) 646-5060
Laboratory LocationSlidell Memorial Hospital East100 Medical Center Drive 1st Floor, Slidell, LA 70461
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 19D2119086

Slidell Memorial Hospital East · Slidell, LA
Active · expires Sep 19, 2026
CLIA Number19D2119086
Laboratory TypeHospital
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorDevin Broadwater
Laboratory Phone(985) 646-5060
Laboratory LocationSlidell Memorial Hospital East100 Medical Center Drive, Slidell, LA 70461
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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
PET CENTER OF LOUISIANA LLC
Clinic/Center (Radiology, Mobile)
1495 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (504) 887-8728
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 Slidell Memorial Hospital's NPI number?

The NPI number for Slidell Memorial Hospital is 1114976263. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as MD Imaging Slidell.

Where is Slidell Memorial Hospital located?

Slidell Memorial Hospital is located at 1495 Gause Blvd, Slidell, LA 70458. The listed phone number is (985) 405-5200.

What is Slidell Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Slidell Memorial Hospital hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Slidell Memorial Hospital was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.