REVISION INK LLC; NPI #1477134203

Contact Information

REVISION INK LLC

1007 BERTRAND PKWY
BROUSSARD, LA 70518-8025

Phone: 337-945-0631
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical Art Specialist/Technologist	246ZA2600X

Indicates primary specialty

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NPI Profile & details for REVISION INK LLC

NPI Number	`1477134203`
LBN Legal business name	REVISION INK LLC
Authorized official	AMAINTE GODEAUX - (OWNER/OPERATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/14/2021
Last updated	04/14/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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REVISION INK LLC

Contact Information

Specialty

Medical Art Specialist/Technologist

NPI Profile & details for REVISION INK LLC

Reviews for REVISION INK LLC