Impetus Diagnostics LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

IMPETUS DIAGNOSTICS LLC

Practice address

4752 Highway 311 Ste 112
Houma, LA 70360-2810

Phone

(855) 482-3598

NPI assigned

Jul 30, 2025

Organization subpart

No

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

Authorized official

Name

Andrew Yeates

Title

Owner, Manager

Phone

(985) 580-9703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1992688535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 HIGHWAY 311 STE 112",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602810",
            "telephone_number": "855-482-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 HIGHWAY 311 STE 112",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602810",
            "telephone_number": "855-482-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPETUS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "YEATES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "985-580-9703"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.