Organization
IMPETUS DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW YEATES (OWNER, MANAGER)
(985) 580-9703
Entity
Organization
Contact information
Practice address
4752 HIGHWAY 311 STE 112, HOUMA, LA 70360-2810
(855) 482-3598
Mailing address
4752 HIGHWAY 311 STE 112, HOUMA, LA 70360-2810
(855) 482-3598
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
08/07/2025
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