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AVALA
NPI 1265023170
Radiology - Diagnostic Radiology in Covington, LA

Active since February 02, 2021CLIA Certified · 2 labs
67252 INDUSTRY LN, COVINGTON, LA 70433(985) 809-9888(985) 801-3099 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2023, Feb 3, 2021 (2 updates tracked since 2021).

About Avala NPPES

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

AVALA (NPI 1265023170) is a healthcare organization registered as a diagnostic radiology in Covington, Louisiana and active in the NPI registry since February 2021. The organization holds 2 active CLIA laboratory certificates and lists Lori Frey, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1265023170
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFAIRWAY MEDICAL CENTER, LLC
Location Address67252 INDUSTRY LNCovington, LA 70433-8704
Mailing Address67252 Industry LnCovington, LA 70433-8704 · (985) 809-9888 · Fax (985) 801-3099
Phone(985) 809-9888
Fax(985) 801-3099
Organization SubpartNo
Authorized OfficialLori FreyDirector Revenue Cycle · (985) 801-6258
Enumeration DateFebruary 2, 2021
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1265023170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
67252 INDUSTRY LN, Covington, LA 70433
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Other Names 1

Doing Business AsAvala

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 19D1075504

Avala · Covington, LA
Active · expires Jul 25, 2027
CLIA Number19D1075504
Laboratory TypeHospital
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorPamela M. Bartholomew
Laboratory Phone(985) 809-9888
Laboratory LocationAvala67252 Industry Lane, Covington, LA 70433
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 19D0979467

Avala · Covington, LA
Active · expires Dec 11, 2026
CLIA Number19D0979467
Laboratory TypeHospital
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorEdward J. Martin III
Laboratory Phone(985) 801-6279
Laboratory LocationAvala67252 Industry Lane, Covington, LA 70433
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 8

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

DANIEL GEORGE RUPLEY MD
Radiology (Diagnostic Radiology)
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 801-6216
AUSTIN CONNOR BRANNON MOT, LOTR
Occupational Therapist (Hand)
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 801-6265
MARGARET KATHERINE BEYRAU OTD, LOTR
Occupational Therapist
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 801-6247
DR. ABBY MOODY MILLER DNP, CRNA
Nurse Anesthetist, Certified Registered
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 809-9888
PARISH ANESTHESIA NORTHSHORE, LLC
Nurse Anesthetist, Certified Registered
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 809-9888
DR. ASHLEY GENE INGOLIA M.D., FACP
Internal Medicine
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 809-9888
FAIRWAY MEDICAL CENTER, LLC
General Acute Care Hospital
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 809-9888
WHITNEY RAE NICKENS COTA/L
Occupational Therapy Assistant
67252 INDUSTRY LN
COVINGTON, LA 70433
St. Tammany Parish (985) 801-6247

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 Fairway Medical Center, LLC's NPI number?

The NPI number for Fairway Medical Center, LLC is 1265023170. It was assigned to this organization in the NPPES registry on February 2, 2021. The provider is doing business as Avala.

Where is Fairway Medical Center, LLC located?

Fairway Medical Center, LLC is located at 67252 Industry Ln, Covington, LA 70433. The listed phone number is (985) 809-9888.

What is Fairway Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Fairway Medical Center, LLC hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Fairway Medical Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Fairway Medical Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairway Medical Center, LLC was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.