LACED BOUTIQUE AND SALON LLC
NPI 1669256384
General Practice in New Orleans, LA

Active since August 23, 2023
4701 S CARROLLTON AVE, NEW ORLEANS, LA 70119(504) 494-3895 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Jul 9, 2024, Mar 8, 2024 and 1 more (4 updates tracked since 2023).

About Laced Boutique And Salon Llc NPPES

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

LACED BOUTIQUE AND SALON LLC (NPI 1669256384), doing business as Elite Medical Center, is a healthcare organization registered as a general practice in New Orleans, Louisiana and active in the NPI registry since August 2023. The organization lists Shawndrick R. Redding, Owner Authorized, as its authorized official.

NPPES Registry Identity

NPI1669256384
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLACED BOUTIQUE AND SALON LLC
Location Address4701 S CARROLLTON AVENew Orleans, LA 70119-6026
Mailing Address4701 S Carrollton AveNew Orleans, LA 70119-6026 · (504) 494-3895
Organization SubpartNo
Authorized OfficialShawndrick R. ReddingOwner Authorized · (225) 449-0102
Enumeration DateAugust 23, 2023
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1669256384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
4701 S CARROLLTON AVE, New Orleans, LA 70119

Other Names 1

Doing Business AsElite Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
4701 S CARROLLTON AVE
NEW ORLEANS, LA 70119
Surgery
4701 S CARROLLTON AVE
NEW ORLEANS, LA 70119
General Practice
4701 S CARROLLTON AVE
NEW ORLEANS, LA 70119

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 Laced Boutique And Salon LLC's NPI number?

The NPI number for Laced Boutique And Salon LLC is 1669256384. It was assigned to this organization in the NPPES registry on August 23, 2023. The provider is doing business as Elite Medical Center.

Where is Laced Boutique And Salon LLC located?

Laced Boutique And Salon LLC is located at 4701 S Carrollton Ave, New Orleans, LA 70119. The listed phone number is (504) 494-3895.

What is Laced Boutique And Salon LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Laced Boutique And Salon LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.