Provider Demographics
NPI:1992010201
Name:TAKE CARE HEALTH SCREENINGS
Entity Type:Organization
Organization Name:TAKE CARE HEALTH SCREENINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEALTH SCREENER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTNGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-402-9399
Mailing Address - Street 1:745 IBERVILLE ST
Mailing Address - Street 2:
Mailing Address - City:LAPLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:745 IBERVILLE ST
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2022
Practice Address - Country:US
Practice Address - Phone:504-402-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA37097245K291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory