LOUISIANA ORTHOPEDIC & SPINE INSTITUTE
NPI 1366196461
Clinic/Center - Multi-Specialty in Baton Rouge, LA

Active since February 08, 2022CLIA 19D2032688 · Waiver
1940 ONEAL LN, BATON ROUGE, LA 70816(888) 553-3689(225) 751-6680 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Feb 8, 2022 (2 updates tracked since 2022).

About Louisiana Orthopedic & Spine Institute NPPES

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

LOUISIANA ORTHOPEDIC & SPINE INSTITUTE (NPI 1366196461) is a healthcare organization registered as a multi-specialty in Baton Rouge, Louisiana and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Bailee Boyett, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366196461
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameIMAC MEDICAL OF LOUISIANA A MEDICAL CORPORATION
Location Address1940 ONEAL LNBaton Rouge, LA 70816-3201
Mailing Address1605 Westgate Cir Ste 100Brentwood, TN 37027-8396 · (844) 266-4622 · Fax (615) 637-7334
Fax(225) 751-6680
Organization SubpartNo
Authorized OfficialBailee BoyettCredentialing Specialist · (615) 637-7333
Enumeration DateFebruary 8, 2022
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
NPI 1366196461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
1940 ONEAL LN, Baton Rouge, LA 70816

Other Names 1

Doing Business AsLouisiana Orthopedic & Spine Institute

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 Waiver 19D2032688

Louisiana Orthopedic & Spine Institute · Baton Rouge, LA
Active · expires Nov 13, 2027
CLIA Number19D2032688
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorF A. Johnston
Laboratory Phone(225) 751-6666
Laboratory LocationLouisiana Orthopedic & Spine Institute1940 O'neal, Suite A, Baton Rouge, LA 70816
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 2

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

Orthopaedic Surgery (Orthopaedic Trauma)
1940 ONEAL LN
BATON ROUGE, LA 70816
Orthopaedic Surgery
1940 ONEAL LN
BATON ROUGE, LA 70816

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 Imac Medical Of Louisiana A Medical Corporation's NPI number?

The NPI number for Imac Medical Of Louisiana A Medical Corporation is 1366196461. It was assigned to this organization in the NPPES registry on February 8, 2022. The provider is doing business as Louisiana Orthopedic & Spine Institute.

Where is Imac Medical Of Louisiana A Medical Corporation located?

Imac Medical Of Louisiana A Medical Corporation is located at 1940 Oneal Ln, Baton Rouge, LA 70816. The listed phone number is (888) 553-3689.

What is Imac Medical Of Louisiana A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Imac Medical Of Louisiana A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2032688) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imac Medical Of Louisiana A Medical Corporation was last updated on August 8, 2022. 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.