{"npi":"1083662746","type":"NPI-2","status":"active","name":{"display":"Northlake Radiology Consultants, Apmc","other":[],"organization_name":"NORTHLAKE RADIOLOGY CONSULTANTS, APMC","authorised_official":"Klar Rovira"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1001 GAUSE BLVD","city":"SLIDELL","state":"LA","postal_code":"704582939","country_code":"US","phone":"9856498545"},{"purpose":"MAILING","street_1":"PO BOX 2710","city":"SLIDELL","state":"LA","postal_code":"704592710","country_code":"US","phone":"9856460691","fax":"9856460750"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"05974773","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"09012709","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"08927838","state":"MS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-05","last_updated":"2010-01-12","_meta":{"source":"NPPES","snapshot_date":"2010-01-12","doc_url":"https://findmynpi.com/api"}}