Healthcare Provider Details

I. General information

NPI: 1356246334
Provider Name (Legal Business Name): THENURTURELAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11532 BRIAN DR APT 3
HAMMOND LA
70401-4735
US

IV. Provider business mailing address

201 SAINT CHARLES AVE STE 114
NEW ORLEANS LA
70170-0114
US

V. Phone/Fax

Practice location:
  • Phone: 504-201-3149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LATRELL WELLS
Title or Position: OWNER
Credential:
Phone: 504-201-3149