Provider Demographics
NPI:1407228786
Name:REMENDIUM LABS LLC
Entity Type:Organization
Organization Name:REMENDIUM LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-736-2424
Mailing Address - Street 1:101 LA EMERGING TECHNOLOGY CTR
Mailing Address - Street 2:110 LSU UNION SQUARE
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70803-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:340 E PARKER BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4659
Practice Address - Country:US
Practice Address - Phone:225-615-8926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies