OrganizationActive
Northshore Laser & Vein Center LLC
NPI 1205516903 · Critical Care Medicine (Internal Medicine) Physician · Mandeville, LA
Provider details
- NPI number
- 1205516903
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Grisoli, Medical Director(985) 507-9116
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 Glorias Pl
Mandeville, LA 70471-1612
Phone: (985) 507-9116
Fax: (850) 637-8020
Street-level locationGet directions
Mailing address
301 Glorias Pl
Mandeville, LA 70471-1612
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-07-19
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.