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THIBODAUX REGIONAL RADIOLOGY
NPI 1467427336
Radiology - Diagnostic Radiology in Thibodaux, LA

Active since February 22, 2006CLIA 19D2294043 · Waiver
602 N ACADIA RD, RADIOLOGY DEPT., THIBODAUX, LA 70301(985) 447-5500 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Thibodaux Regional Radiology NPPES

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

THIBODAUX REGIONAL RADIOLOGY (NPI 1467427336) is a healthcare organization registered as a diagnostic radiology in Thibodaux, Louisiana and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2027, maintains a secondary practice location in Thibodaux, and lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1467427336
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Location Address602 N ACADIA RD, RADIOLOGY DEPT.Thibodaux, LA 70301-4847
Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 447-5500
Phone(985) 447-5500
Organization SubpartNo
Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907
Enumeration DateFebruary 22, 2006
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1467427336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
602 N ACADIA RD, Thibodaux, LA 70301
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Other Names 1

Doing Business AsThibodaux Regional Radiology

Secondary Practice Location 1

Location 1726 N Acadia Rd Ste 1500Thibodaux, LA 70301-5051 · Phone (985) 493-4756 · Fax (985) 449-2552

Other Identifiers 1

Medicaid1948756LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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 19D2294043

Thibodaux Regional Cardiology Clinic · Thibodaux, LA
Active · expires Nov 16, 2027
CLIA Number19D2294043
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorHadi Elias
Laboratory Phone(985) 493-4993
Laboratory LocationThibodaux Regional Cardiology Clinic602 N Acadia Rd, Ste 101, Thibodaux, LA 70301
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RYAN TRAHAN LAT,ATC
Specialist/Technologist (Athletic Trainer)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4502
REBECCA ANN MELANCON NP
Nurse Practitioner (Neonatal, Critical Care)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-5500
CANDICE ESCHETE
Nurse Practitioner (Family)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4727
JOHN JEROME TOSH M.D.
Emergency Medicine
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (504) 837-8000
CHARLES J MONIER JR. MD
Internal Medicine (Gastroenterology)
602 N ACADIA RD, SUITE 101
THIBODAUX, LA 70301
Lafourche Parish (985) 446-1958
DWAYNE ANDRAS NP
Nurse Practitioner (Acute Care)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4740
SARAH ELLIOTT JENKINS
Nurse Anesthetist, Certified Registered
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-5500
DR. BRADLEY BER I MD
Hospitalist
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-5500

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 Thibodaux Regional Network Development Corporation's NPI number?

The NPI number for Thibodaux Regional Network Development Corporation is 1467427336. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Thibodaux Regional Radiology.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 602 N Acadia Rd Radiology Dept., Thibodaux, LA 70301. The listed phone number is (985) 447-5500.

What is Thibodaux Regional Network Development Corporation's specialty?

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

Does Thibodaux Regional Network Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2294043) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thibodaux Regional Network Development Corporation accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation 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 Thibodaux Regional Network Development Corporation was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.