Gulf Coast Radiology LLC
NPI 1326761925ActiveOrganization· Radiology, Diagnostic Radiology· Lake Charles, LA
Radiology, Diagnostic Radiology in Lake Charles, Louisiana, registered in NPPES in September 2022. The authorized official on file is David Richard Wallace, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326761925 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2022 |
| Last updated in NPPES | Sep 20, 2022 |
| Certified by provider | Sep 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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