Organization Active NPI

Indeed Medical Mobile Lab

  • Phlebotomy Technician
  • Carencro, LA
National Provider Identifier
1477393734
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
INDEED MEDICAL MOBILE LAB
Practice address
3419 NW Evangeline Trwy Ste 8
Carencro, LA 70520-6241
Phone
(337) 314-9501
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Mrs. Pascol RideauNPI 1518648153
Title
Ceo
Phone
(337) 314-9501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

3419 NW Evangeline Trwy Ste 8
Carencro, LA 70520-6241

Mailing address

PO Box 456
Washington, LA 70589-0456
Phone (337) 314-9501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251029000005 LA Part B Supplier - Independent Clinical Laboratory 5799274908 Practice locations: Carencro, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2326061Indeed Medical Mobile Lab, LLC3419 NW Evangeline Thruway, Suite E8, Carencro, LA 70520Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

3419 NW Evangeline Trwy
Ste 8
Carencro, LA 70520
Phone (337) 314-9501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1477393734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "WASHINGTON",
            "state": "LA",
            "postal_code": "705890456",
            "telephone_number": "337-314-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 NW EVANGELINE TRWY STE 8",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206241",
            "telephone_number": "337-314-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEED MEDICAL MOBILE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "RIDEAU",
        "authorized_official_first_name": "PASCOL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-314-9501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.