OrganizationActive
Patient Centered Diagnostics LLC
NPI 1235883943 · Health Service Clinic/Center · Thibodaux, LA
Provider details
- NPI number
- 1235883943
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jontell Johnson, Owner(985) 713-2270
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1425 Lynn St Ste a
Thibodaux, LA 70301-4416
Phone: (985) 227-9771
Fax: (985) 227-9764
Street-level locationGet directions
Mailing address
1425 Lynn St
Thibodaux, LA 70301-4416
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.