Healthcare Provider Details

I. General information

NPI: 1164383824
Provider Name (Legal Business Name): FACE2FACE LAB SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4939 NOTTINGHAM DR
NEW ORLEANS LA
70127-3113
US

IV. Provider business mailing address

4939 NOTTINGHAM DR
NEW ORLEANS LA
70127-3113
US

V. Phone/Fax

Practice location:
  • Phone: 504-497-3711
  • Fax:
Mailing address:
  • Phone: 504-497-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERION SHONTAY KYLES
Title or Position: OWNER
Credential:
Phone: 504-497-3711