Provider Demographics
NPI:1467345074
Name:ROAD2SUCCESS LLC
Entity type:Organization
Organization Name:ROAD2SUCCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BLAKELY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-808-2421
Mailing Address - Street 1:6003 FINANCIAL PLZ STE 2B
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2670
Mailing Address - Country:US
Mailing Address - Phone:866-373-6251
Mailing Address - Fax:866-375-1359
Practice Address - Street 1:6003 FINANCIAL PLZ STE 2B
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2670
Practice Address - Country:US
Practice Address - Phone:866-373-6251
Practice Address - Fax:866-375-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyGroup - Multi-Specialty