Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fairway Medical Center, LLC

Organization Diagnostic Radiology Physician · NPI 1265023170

Fairway Medical Center, LLC provides Diagnostic Radiology Physician services 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

Other providers in Covington