OrganizationActiveAccepts Medicare
Southeast Neuroscience Center, LLC
NPI 1285630129 · Specialist · Gray, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1285630129
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jasmine Martines, Billing(985) 855-4327
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
128 Neuroscience Ct
Gray, LA 70359
Phone: (985) 917-3007
Fax: (985) 917-3010
Approximate (ZIP-level) locationGet directions
Mailing address
128 Neuroscience Ct
Gray, LA 70359-5209
Other names (DBA / former)
- Doing business as
- Imaging Center of South Louisiana
Registry dates
- Enumerated
- 2005-06-24
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.