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

Q: 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.

Q: What is Slidell Memorial Hospital's specialty?

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

Active since May 08, 2006CLIA 19D0460560 · Accreditation

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: September 13, 2026.

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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 an CLIA Accreditation certificate valid through February 8, 2027 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

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.

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)