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Organization
PEDIATRICS REIMAGINED LLC
Active
Organization
PEDIATRICS REIMAGINED LLC
Active
Other names
Your Local Pediatrics on Demand
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE THEARD DNP, CPNP-AC (MANAGING MEMBER)
(504) 343-4714
Entity
Organization
Contact information
Practice address
1901 HIGHWAY 190 STE 9, MANDEVILLE, LA 70448-3495
(985) 231-4060
(985) 353-4460
Mailing address
1901 HIGHWAY 190 STE 9, MANDEVILLE, LA 70448-3495
(985) 231-4060
(985) 353-4460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/16/2023
Last updated
10/31/2025
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