BEAUREGARD - VERNON MRI LLC
NPI 1255330882
Physiological Laboratory in Deridder, LA

NPI Status: Active since July 15, 2005

Contact Information

600 S PINE ST
MRI SUITE
DERIDDER, LA
ZIP 70634
Phone: (337) 462-9946
Fax: (337) 462-9947

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  • Organization
  • Physiological Laboratory
  • CLIA Number: 19D2261898
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-06-2026

About BEAUREGARD - VERNON MRI LLC

This page provides the complete NPI Profile along with additional information for Beauregard - Vernon Mri Llc, a provider established in Deridder, Louisiana operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1255330882 assigned on July 2005. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is James W. Holmes (Chief Operating Officer)

NPI
1255330882
Provider Name
BEAUREGARD - VERNON MRI LLC
Entity Type
Organization
Location Address
600 S PINE ST MRI SUITE DERIDDER, LA 70634
Location Phone
(337) 462-9946
Location Fax
(337) 462-9947
Mailing Address
600 S PINE ST MRI SUITE DERIDDER, LA 70634
Mailing Phone
(337) 462-9946
Mailing Fax
(337) 462-9947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2005
Last Update Date
02-13-2015
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JAMES W. HOLMES

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(337) 291-9161

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5CF22MEDICARE PIN (08)LA 
1444561MEDICAID (05)LA 
P00024301MEDICARE PIN (08)LA 

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
19D2261898
Facility Type
Physician Office
Certificate Effective Date
June 07, 2024
Certificate Expiration Date
June 06, 2026
Laboratory Director
DAVID JONES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beauregard - Vernon Mri Llc 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255330882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 6 + 3 + 0 + 8 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1255330882.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Home Health
600 S PINE ST
DERIDDER, LA 70634
Emergency Medicine
600 S PINE ST
DERIDDER, LA 70634
General Acute Care Hospital (Rural)
600 S PINE ST
DERIDDER, LA 70634
Emergency Medicine
600 S PINE ST
DERIDDER, LA 70634
Pharmacy (Institutional Pharmacy)
600 S PINE ST
DERIDDER, LA 70634
Obstetrics & Gynecology
600 S PINE ST
DERIDDER, LA 70634
Pediatrics
600 S PINE ST
DERIDDER, LA 70634
Hospitalist
600 S PINE ST
DERIDDER, LA 70634
Hospitalist
600 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner (Family)
600 S PINE ST
DERIDDER, LA 70634
Specialist/Technologist (Athletic Trainer)
600 S PINE ST
DERIDDER, LA 70634
Speech-Language Pathologist
600 S PINE ST
DERIDDER, LA 70634
Pathology (Clinical Pathology/Laboratory Medicine)
600 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner
600 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner (Family)
600 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner (Family)
600 S PINE ST
DERIDDER, LA 70634
Nurse Anesthetist, Certified Registered
600 S PINE ST
DERIDDER, LA 70634
Clinic/Center (Podiatric)
600 S PINE ST
DERIDDER, LA 70634
Clinic/Center (Multi-Specialty)
600 S PINE ST
DERIDDER, LA 70634
General Acute Care Hospital (Rural)
600 S PINE ST
DERIDDER, LA 70634

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255330882, enumerated as an "organization" on July 15, 2005.

The provider is located at 600 S PINE ST MRI SUITE DERIDDER, LA 70634 and the phone number is (337) 462-9946.

Physiological Laboratory with taxonomy code 293D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.