Organization
MEDICAL CENTER DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL N PITTMAN MD (CEO OWNER)
(985) 809-0000
Entity
Organization
Contact information
Practice address
67250 INDUSTRY LANE, COVINGTON, LA 70433
(985) 809-0000
(985) 898-3827
Mailing address
67250 INDUSTRY LANE, COVINGTON, LA 70433
(985) 809-0000
(985) 898-3827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1938934
—
LA
01
—
F1152
BLUE CROSS
LA
01
—
G1502
BLUE CROSS
LA
Enumeration date
04/19/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up