OrganizationActive
Revision Ink LLC
NPI 1477134203 · Medical Art Specialist/Technologist · Broussard, LA
Provider details
- NPI number
- 1477134203
- Entity type
- Organization
- Primary specialty
- Medical Art Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Amainte Godeaux, Owner/Operator(337) 945-0631
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1007 Bertrand Pkwy
Broussard, LA 70518-8025
Phone: (337) 945-0631
Street-level locationGet directions
Mailing address
615 Easy Rock Landing Dr
Broussard, LA 70518-7775
Other names (DBA / former)
- Other name
- Revision Ink
Registry dates
- Enumerated
- 2021-04-14
- Last updated
- 2021-04-14
- Certified
- 2021-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.