CHRISTUS ADVANCED DIAGNOSTICS
NPI 1548656465
Clinic/Center - Magnetic Resonance Imaging (MRI) in Shreveport, LA
NPI Status: Active since April 07, 2015
Contact Information
855 PIERREMONT RD
SUITE 105
SHREVEPORT, LA
ZIP 71106
Phone: (318) 861-7413
Fax: (318) 865-5792
- Organization
- Clinic/Center
- Magnetic Resonance Imaging (MRI)
- CLIA Number: 19D2106966
- CLIA Cert. Type: Other - INDEPEN. DIAGN. TESTING
- CLIA Exp. Date: 01-03-2026
About CHRISTUS ADVANCED DIAGNOSTICS
This page provides the complete NPI Profile along with additional information for Christus Advanced Diagnostics, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1548656465 assigned on April 2015. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Christus Advanced Diagnostics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Christus Advanced Diagnostics. The authorized official of this NPI record is Scott Merryman (Cfo)
- NPI
- 1548656465
- Provider Legal Name
- EVANGELINE CLINICAL SERVICES, INC.
- Other Organization Name
- CHRISTUS ADVANCED DIAGNOSTICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 855 PIERREMONT RD SUITE 105 SHREVEPORT, LA 71106
- Location Phone
- (318) 861-7413
- Location Fax
- (318) 865-5792
- Mailing Address
- 855 PIERREMONT RD SUITE 105 SHREVEPORT, LA 71106
- Mailing Phone
- (318) 861-7413
- Mailing Fax
- (318) 865-5792
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2015
- Last Update Date
- 05-29-2015
- Code Navigator
Location Map
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
Clinic/Center Magnetic Resonance Imaging (MRI)
- Taxonomy Code
- 261QM1200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 19D2106966
- Facility Type
- Other - INDEPEN. DIAGN. TESTING
- Certificate Effective Date
- January 04, 2024
- Certificate Expiration Date
- January 03, 2026
- Laboratory Director
- MICHAEL E. JONES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Christus Advanced Diagnostics 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 6 | 5 | 6 | 4 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 12 | 5 | 12 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 2 + 5 + 1 + 2 + 4 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1548656465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
OPEN MRI OF NORTHWEST LOUISIANA LLC
Radiology
(Diagnostic Radiology)
855 PIERREMONT RD
SUITE 105
SHREVEPORT, LA
ZIP 71106
WK EYE CENTER AT TOWNE OAKS
Optometrist
855 PIERREMONT RD
SUITE 102
SHREVEPORT, LA
ZIP 71106
MRS. KITTY A. ROARK
Prosthetic/Orthotic Supplier
855 PIERREMONT RD
SUITE 126
SHREVEPORT, LA
ZIP 71106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548656465, enumerated as an "organization" on April 07, 2015.
The provider is located at 855 PIERREMONT RD SUITE 105 SHREVEPORT, LA 71106 and the phone number is (318) 861-7413.
Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).
