Organization Active NPI

Wellnecessities ,Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Shreveport, LA
National Provider Identifier
1871571778
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Apr 4, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8195362OtherCIGNA
B2923OtherBLUE CROSS BLUE SHIELD
5573004OtherAETNA

Other names 1

  • Louisiana Medical Diagnostics Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Medical Diagnostics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.