Individual provider Active NPI

Pascol Rideau

  • Phlebotomy Technician
  • Opelousas, LA
National Provider Identifier
1518648153
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
328495 Issued in LA
Practice address
270 Compress Rd
Opelousas, LA 70570-1136
Phone
(337) 308-6242
Fax
(866) 846-7114
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 328495 LA Primary

Addresses

Primary practice location

270 Compress Rd
Opelousas, LA 70570-1136

Mailing address

PO Box 456
Washington, LA 70589-0456
Phone (337) 308-6242

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

State licenses

LicenseStateTypeSpecialty
328495LAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Indeed Medical Mobile Lab Phlebotomy CurrentSince May 26, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1518648153",
    "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": "337-308-6242",
            "fax_number": "866-846-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COMPRESS RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705701136",
            "telephone_number": "337-308-6242",
            "fax_number": "866-846-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEAU",
        "first_name": "PASCOL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "LA",
            "license": "328495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.