Individual provider Active NPI

Demtrius Brailey, CLS-T(ASCP)

  • Medical Laboratory Technician
  • Slidell, LA
National Provider Identifier
1073288726
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
Practice address
40070 Cane St Ste 400
Slidell, LA 70461-3757
Phone
(985) 326-8355
Fax
(985) 265-4137
NPI assigned
Aug 14, 2021
Last updated
May 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X NU Primary

Addresses

Primary practice location

40070 Cane St Ste 400
Slidell, LA 70461-3757

Mailing address

40070 Cane St Ste 400
Slidell, LA 70461-3757
Phone (985) 326-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Analytics LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

40070 Cane St
Ste 400
Slidell, LA 70461
Phone (985) 265-4252

663 Brownswitch Rd
Ste 2
Slidell, LA 70458
Phone (504) 352-6171

770 Gause Blvd
Ste A1
Slidell, LA 70458

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1073288726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40070 CANE ST STE 400",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613757",
            "telephone_number": "985-326-8355",
            "fax_number": "985-265-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40070 CANE ST STE 400",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613757",
            "telephone_number": "985-326-8355",
            "fax_number": "985-265-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAILEY",
        "first_name": "DEMTRIUS",
        "credential": "CLS-T(ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.