National Provider Identifier Database

IMPETUS DIAGNOSTICS LLC
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

IMPETUS DIAGNOSTICS LLC
4752 HIGHWAY 311 STE 112
HOUMA, LA70360-2810
Phone: 855-482-3598
Fax:
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for IMPETUS DIAGNOSTICS LLC

NPI Number 1992688535
Legal business name
LBN
IMPETUS DIAGNOSTICS LLC
Authorized official ANDREW YEATES - (OWNER, MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/30/2025
Last updated 08/07/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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