Active NPI
Wellnecessities ,Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Shreveport, LA
National Provider Identifier
1871571778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- WELLNECESSITIES ,INC.
- Practice address
- 8835 Line Avenue
Suite 400
Shreveport, LA 71106-6718 - Phone
- (318) 222-0885
- Fax
- (318) 222-0883
- NPI assigned
- Jan 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lea M Desmarteau
- Title
- Ceo /Owner
- Phone
- (318) 222-0885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
8835 Line Avenue
Suite 400
Shreveport, LA 71106-6718
Mailing address
8835 Line Avenue
Suite 500
Shreveport, LA 71106-6718
Phone (318) 222-0885
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8195362 | Other | CIGNA | |
| B2923 | Other | BLUE CROSS BLUE SHIELD | |
| 5573004 | Other | AETNA |
Other names 1
- Louisiana Medical Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040809000088 | LA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1759353055 | Practice locations: Shreveport, LA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1295713956
1759353055
National Provider Directory
National Provider Directory- Tax ID family
- Louisiana Medical Diagnostics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1619985488
-
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1295713956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491264000000",
"number": "1871571778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 LINE AVENUE",
"address_2": "SUITE 500",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066718",
"telephone_number": "318-222-0885",
"fax_number": "318-222-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 LINE AVENUE",
"address_2": "SUITE 400",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066718",
"telephone_number": "318-222-0885",
"fax_number": "318-222-0883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNECESSITIES ,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-03",
"last_updated": "2017-04-04",
"status": "A",
"authorized_official_last_name": "DESMARTEAU",
"authorized_official_first_name": "LEA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO /OWNER",
"authorized_official_telephone_number": "318-222-0885"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8195362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "B2923",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5573004",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Louisiana Medical Diagnostics",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.