Active NPI
Exquisite Wellness Screenings LLC
- Clinical Medical Laboratory
- Baton Rouge, LA
National Provider Identifier
1982303137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- EXQUISITE WELLNESS SCREENINGS LLC
- Practice address
- 11848 S Harrells Ferry Rd Ste E
Baton Rouge, LA 70816-2593 - Phone
- (225) 975-7638
- NPI assigned
- Feb 27, 2023
- 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
- Kiera Kibodeaux
- Title
- Ceo
- Phone
- (225) 975-7638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11848 S Harrells Ferry Rd Ste E
Baton Rouge, LA 70816-2593
Mailing address
11848 S Harrells Ferry Rd Ste E
Baton Rouge, LA 70816-2593
Phone (225) 975-7638
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1982303137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11848 S HARRELLS FERRY RD STE E",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708162593",
"telephone_number": "225-975-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 S HARRELLS FERRY RD STE E",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708162593",
"telephone_number": "225-975-7638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXQUISITE WELLNESS SCREENINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "KIBODEAUX",
"authorized_official_first_name": "KIERA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-975-7638"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.