OrganizationActive
Impetus Diagnostics LLC
NPI 1992688535 · Dental Laboratory · Houma, LA
Provider details
- NPI number
- 1992688535
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Andrew Yeates, Owner, Manager(985) 580-9703
Specialties & taxonomies
Laboratories
Practice location
4752 Highway 311 Ste 112
Houma, LA 70360-2810
Phone: (855) 482-3598
Approximate (ZIP-level) locationGet directions
Mailing address
4752 Highway 311 Ste 112
Houma, LA 70360-2810
Registry dates
- Enumerated
- 2025-07-30
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.