Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revision Ink LLC

Organization Medical Art Specialist/Technologist · NPI 1477134203

Revision Ink LLC is a Medical Art Specialist/Technologist in Broussard, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1007 Bertrand Pkwy
Broussard, LA 70518-8025
Phone: (337) 945-0631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Art Specialist/Technologist (primary) Taxonomy 246ZA2600X

Record details

NPI number1477134203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amainte Godeaux — Owner/Operator · (337) 945-0631
Other names Revision Ink
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address615 Easy Rock Landing Dr, Broussard, LA 70518-7775