Fairway Medical Center, LLC
NPI 1265023170 · Diagnostic Radiology Physician · Covington, LA
Enrolled with Medicare as Part B Supplier - Hospital Department(s) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairway Medical Center, LLC is a Diagnostic Radiology Physician organization in Covington, LA (NPI 1265023170).
Provider details
- NPI number
- 1265023170
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Frey, Director Revenue Cycle(985) 801-6258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avala
- Doing business as
- Avala
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Frequently asked questions
- What is Fairway Medical Center, LLC's NPI number?
- Fairway Medical Center, LLC's National Provider Identifier (NPI) is 1265023170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairway Medical Center, LLC?
- Fairway Medical Center, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Fairway Medical Center, LLC located?
- Fairway Medical Center, LLC's practice location on file with NPPES is 67252 Industry Ln, Covington, LA 70433-8704.
- What is Fairway Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairway Medical Center, LLC is (985) 809-9888.
- Does Fairway Medical Center, LLC accept Medicare?
- Fairway Medical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairway Medical Center, LLC?
- The authorized official listed on Fairway Medical Center, LLC's NPPES record is Lori Frey, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairway Medical Center, LLC's NPI active?
- Yes — Fairway Medical Center, LLC's NPI (1265023170) is active in the NPPES registry as of the last update on 2023-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.