Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairway Medical Center, LLC

Organization Diagnostic Radiology Physician · NPI 1265023170

Fairway Medical Center, LLC is a Diagnostic Radiology Physician in Covington, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

67252 Industry Ln
Covington, LA 70433-8704
Phone: (985) 809-9888
Fax: (985) 801-3099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1265023170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Frey — Director Revenue Cycle · (985) 801-6258
Other names Avala; Avala
NPI enumeratedFebruary 2, 2021
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address67252 Industry Ln, Covington, LA 70433-8704

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