Healthcare Provider Details

I. General information

NPI: 1740888551
Provider Name (Legal Business Name): COMPLETE COUNT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 SOUTH ORANGE ST
LAFAYETTE LA
70501
US

IV. Provider business mailing address

713 SOUTH ORANGE ST
LAFAYETTE LA
70501
US

V. Phone/Fax

Practice location:
  • Phone: 337-371-7468
  • Fax:
Mailing address:
  • Phone: 337-371-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: CHESLIE RENEE HARRIS
Title or Position: OWNER
Credential: PHLEBOTOMIST
Phone: 337-371-7468