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: October 25, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Avala, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Diagnostic Radiology19
Interventional Radiology1

Clinicians, nearest first (20)

Diagnostic Radiology
NPI 1124071600
67252 INDUSTRY LN
Covington, LA 70433
(985) 801-6216
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1891798328
95 JUDGE TANNER BLVD
Covington, LA 70433
(985) 867-4050
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1336130921
7122 MEADOWBROOK DR
Mandeville, LA 70471
(985) 626-5859
✔ PECOS✔ Accepts Medicare1.3 mi
Diagnostic Radiology
NPI 1083712483
60132 OAKLAWN AVE
Lacombe, LA 70445
(985) 882-7732
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1013912278
1310 GAUSE BLVD
Slidell, LA 70458
(985) 643-5476
✔ PECOS✔ Accepts Medicare21 mi
Diagnostic Radiology
NPI 1427053347
4901 WILLS ST
Metairie, LA 70006
(952) 595-1100
✔ PECOS✔ Accepts Medicare27 mi
Diagnostic Radiology
NPI 1851396725
4204 TEUTON ST
Metairie, LA 70006
(504) 833-8111
✔ PECOS✔ Accepts Medicare28 mi
Diagnostic Radiology
NPI 1982793899
3625 HOUMA BLVD
Metairie, LA 70006
(504) 888-7921
✔ PECOS✔ Accepts Medicare28 mi
Diagnostic Radiology
NPI 1508870783
2020 GRAVIER ST FL 7 DEPARTMENT OF RADIOLOGY, LSU HEALTH SCIENCES CENTER
New Orleans, LA 70112
(504) 568-4647
✔ PECOS✔ Accepts Medicare31 mi
Interventional Radiology
NPI 1710203971
1340 BROAD AVE STE 440
Gulfport, MS 39501
(228) 867-4855
✔ PECOS✔ Accepts Medicare58 mi
Diagnostic Radiology
NPI 1831148923
705 DUNN ST
Houma, LA 70360
(985) 876-2727
✔ PECOS✔ Accepts Medicare68 mi
Diagnostic Radiology
NPI 1134389745
705 DUNN ST
Houma, LA 70360
(985) 876-2727
✔ PECOS✔ Accepts Medicare68 mi
Diagnostic Radiology
NPI 1164419370
2311 KALISTE SALOOM RD
Lafayette, LA 70508
(337) 261-5151
✔ PECOS✔ Accepts Medicare119 mi
Diagnostic Radiology
NPI 1285894196
1800 RYAN ST SUITE 105
Lake Charles, LA 70601
(337) 439-4706
✔ PECOS✔ Accepts Medicare188 mi
Diagnostic Radiology
NPI 1174575336
706 SONG BIRD WAY
Woodstock, GA 30188
(404) 509-2768
✔ PECOS✔ Accepts Medicare413 mi
Diagnostic Radiology
NPI 1568495935
1021 BROAD BRANCH CT
Mc Lean, VA 22101
(866) 400-4295
✔ PECOS✔ Accepts Medicare940 mi
Diagnostic Radiology
NPI 1528061058
900 23RD ST NW
Washington, DC 20037
(202) 715-4000
✔ PECOS✔ Accepts Medicare944 mi
Diagnostic Radiology
NPI 1417971078
18111 PRINCE PHILIP DR T-20
Olney, MD 20832
(301) 774-3400
✔ PECOS✔ Accepts Medicare953 mi
Diagnostic Radiology
NPI 1831693639
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare1,601 mi
Diagnostic Radiology
NPI 1699974550
1301 PUNCHBOWL ST
Honolulu, HI 96813
(808) 691-1000
✔ PECOS✔ Accepts Medicare4,208 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Fairway Medical Center, LLC enrolled in Medicare?

Yes. Fairway Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairway Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Fairway Medical Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (19) and Interventional Radiology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.