PEDIATRICS REIMAGINED LLC
NPI 1356123350
Clinic/Center - Urgent Care in Mandeville, LA

Q: What is Pediatrics Reimagined LLC's NPI number?

The NPI number for Pediatrics Reimagined LLC is 1356123350. It was assigned to this organization in the NPPES registry on October 16, 2023. The provider is doing business as Your Local Pediatrics on Demand.

Q: What is Pediatrics Reimagined LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Active since October 16, 2023CLIA 19D2294631 · Waiver

1901 HIGHWAY 190 STE 9, MANDEVILLE, LA 70448(985) 231-4060(985) 353-4460 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2025, Oct 19, 2023 (2 updates tracked since 2023).

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About Pediatrics Reimagined Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRICS REIMAGINED LLC (NPI 1356123350), doing business as Your Local Pediatrics On Demand, is a healthcare organization registered as an urgent care in Mandeville, Louisiana and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Michelle Theard, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1356123350

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NamePEDIATRICS REIMAGINED LLC

Location Address1901 HIGHWAY 190 STE 9Mandeville, LA 70448-3495

Mailing Address1901 Highway 190 Ste 9Mandeville, LA 70448-3495 · (985) 231-4060 · Fax (985) 353-4460

Phone(985) 231-4060

Fax(985) 353-4460

Organization SubpartNo

Authorized OfficialMichelle TheardManaging Member · (504) 343-4714

Enumeration DateOctober 16, 2023

Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1356123350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

Also ListedPediatricsTaxonomy 208000000X

1901 HIGHWAY 190 STE 9, Mandeville, LA 70448

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Other Names 1

Doing Business AsYour Local Pediatrics On Demand

Other Identifiers 1

Medicaid2652290LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2294631

Pediatrics Reimagined LLC · Mandeville, LA

Active · expires Nov 27, 2027

CLIA Number19D2294631

Laboratory TypePed Urgent Care

Certificate Effective DateNovember 28, 2025

Certificate Expiration DateNovember 27, 2027

Laboratory DirectorTiffany R. Spicuzza

Laboratory Phone(504) 343-4714

Laboratory LocationPediatrics Reimagined LLC1901 Us Highway 190, Suite 9, Mandeville, LA 70448

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatrics Reimagined LLC's NPI number?

The NPI number for Pediatrics Reimagined LLC is 1356123350. It was assigned to this organization in the NPPES registry on October 16, 2023. The provider is doing business as Your Local Pediatrics on Demand.

Where is Pediatrics Reimagined LLC located?

Pediatrics Reimagined LLC is located at 1901 Highway 190 Ste 9, Mandeville, LA 70448. The listed phone number is (985) 231-4060.

What is Pediatrics Reimagined LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Pediatrics Reimagined LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2294631) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatrics Reimagined LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Pediatrics Reimagined LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatrics Reimagined LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.