CLINICAL STICKS LLC NPI 1033602776

NPI Information

NPI: 1033602776
Provider Name: CLINICAL STICKS ,LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 19D2220942

Address:
104 WESTMARK BLVD BLDG STE 2A
LAFAYETTE, LA
ZIP 70506
Phone: (337) 595-5116
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CLINICAL STICKS ,LLC is a health service clinic center in Lafayette, LA. CLINICAL STICKS ,LLC NPI is 1033602776. The provider is registered as an organization entity type.

The provider's business location address is:

104 WESTMARK BLVD BLDG STE 2A
LAFAYETTE, LA
ZIP 70506-344
Phone: (337) 595-5116
Fax: (800) 541-8319

The provider's authorized official is Shanne Gilbert .
The authorized official title is Owner and has the following contact phone number (337) 595-5116.

The CLIA number assigned to this NPI record is 19D2220942 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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