{"npi":"1306883707","type":"NPI-2","status":"active","name":{"display":"Mamou Imaging Group","other":[],"organization_name":"MAMOU IMAGING GROUP","authorised_official":"Charles Reinninger"},"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":"801 POINCIANA AVE","city":"MAMOU","state":"LA","postal_code":"705542243","country_code":"US","phone":"3374682767","fax":"3374684170"},{"purpose":"MAILING","street_1":"801 POINCIANA AVE","city":"MAMOU","state":"LA","postal_code":"705542243","country_code":"US","phone":"3374682767","fax":"3374684170"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1944904","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-02","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}