KWANZA QUINEISE GAINES


Address: 3350 Ridgelake Dr Ste 200, Metairie, LA 70002-3831
Phone: 5046849478

KWANZA QUINEISE GAINES (NPI# 1326674557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326674557
Entity Type Individual
Full Name KWANZA QUINEISE GAINES
Practice Address 3350 Ridgelake Dr Ste 200
Metairie
LA 70002-3831
Mailing Address 7435 Alabama St
New Orleans
LA 70126-1303
Practice Telephone 5046849478
Mailing Telephone 5046067576
Enumeration Date 2020-03-19
Last Update Date 2020-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 3350 RIDGELAKE DR STE 200
City METAIRIE
State LA
Zip Code 70002-3831

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1104338458 Monet Wiltz Case Manager/Care Coordinator 2637 Edenborn Ave Ste 302, Metairie, LA 70002 2017-10-26
1316461395 Crystal Mc Bride Counselor 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 2017-08-01
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1427674845 Ashley Wright Technician, Pathology 14437 Locust St, Baton Rouge, LA 70819-3940 2020-06-22
1467090084 Camilla Henderson Technician, Pathology 1415 Tulane Hospital, New Orleans, LA 70112 2019-12-13
1225509938 Rosetta Marie Gabriel Technician, Pathology 3217 Angelique Dr, Violet, LA 70092-2851 2018-12-07
1841782208 Journey Medical LLC Technician, Pathology 11924 Justice Ave Ste B, Baton Rouge, LA 70816-2372 2018-06-01
1194216465 Shanne Gilbert Technician, Pathology Kenner Metairie and Surrounding Areas, Kenner, LA 70065 2018-05-23
1740780014 Labs On The Go, LLC Technician, Pathology 303 Coles Creek Dr, Carencro, LA 70520-5791 2018-02-13
1518471861 Gregory Keller Technician, Pathology 829 Legion Dr, Gretna, LA 70056-4518 2017-11-23
1437497674 B.a.t. Collection Service,llc Technician, Pathology 2207 Liberty St, Monroe, LA 71201-3623 2013-01-23
1235407040 Tenita Jackson Technician, Pathology 100 Jerald Dr, Monroe, LA 71203-6708 2011-12-07
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Competitor

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City METAIRIE
Zip Code 70002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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