LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER


Address: 1501 Kings Hwy, Dpeartment of Surgery Histocompatibility Laboratory, Shreveport, LA 71103-4228
Phone: 3186756104

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (NPI# 1437383106) 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) 1437383106
Entity Type Organization
Organization Name LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Other Organization Name LSU SHREVEPORT HCL
Practice Address 1501 Kings Hwy
Dpeartment of Surgery Histocompatibility Laboratory
Shreveport
LA 71103-4228
Practice Telephone 3186756104
Mailing Telephone 3186756104
Enumeration Date 2009-05-11
Last Update Date 2009-05-11
Authorized Official Name MRS. MELANIE H SOTAK (DIRECTOR OF MANAGED CARE)
Authorized Official Telephone 3186757737
Authorized Official Credential MHSA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 19D0951857 LA Laboratories

Other Provider/Organization Names

Other Name Type Code
LSU Shreveport HCL Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871765982 Louisiana State University Health Sciences Center Family Medicine 2351 Vandenburg Drive, Alexandria, LA 71311 2008-03-28
1154461937 Louisiana State University Health Sciences Center Audiologist 3735 Blair Dr, Shreveport, LA 71103-4601 2007-02-08
1346609526 Louisiana State University Health Sciences Center Durable Medical Equipment & Medical Supplies 1450 Claiborne Ave, Shreveport, LA 71103-4204 2016-02-17
1801239926 Louisiana State University Health Sciences Center General Acute Care Hospital 5825 Airline Hwy, Baton Rouge, LA 70805-2408 2013-04-08
1144544529 Louisiana State University Health Sciences Center Counselor 1450 Claiborne Ave, Shreveport, LA 71103-4204 2010-03-15
1689901316 Louisiana State University Health Sciences Center Counselor 1450 Claiborne Ave, Shreveport, LA 71103-4204 2009-11-18
1649438532 Louisiana State University Health Sciences Center Internal Medicine 1501 Kings Hwy, Department of Internal Medicine - Section of Nephrology, Shreveport, LA 71103-4228 2008-05-28
1316119167 Louisiana State University Health Sciences Center Internal Medicine 4864 Jackson St, Monroe, LA 71202-6400 2008-04-01
1962674713 Louisiana State University Health Sciences Center Emergency Medicine 4864 Jackson St, Monroe, LA 71202-6400 2008-04-01
1952573701 Louisiana State University Health Sciences Center General Acute Care Hospital 1501 Kings Hwy, Shreveport, LA 71103-4228 2008-04-01

Office Location

Street Address 1501 KINGS HWY
DPEARTMENT OF SURGERY HISTOCOMPATIBILITY LABORATORY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890769 F Dean Griffen Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-06-09
1336747625 Lana Nasief Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-09
1558968834 Dinesh Regalla Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-08
1588261283 Divleen Sidhu Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-06
1023624517 Grace Hoffman Pharmacist 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-20
1194330761 Yousef Hasan Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1790399277 Ricardo Murguia Fuentes Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1013521509 Tahir Ahmad Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1376155309 Ayesha Malik Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-08-20
1104438324 Elleny Gutierrez Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336762269 Louisiana State University Health Sciences Center Shreveport Clinical Medical Laboratory 1505 Kings Highway, 2nd Floor Bri Building, Shreveport, LA 71103-4228 2020-05-27
1437690849 Biostat Laboratories, LLC Clinical Medical Laboratory 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 2017-03-17
1730548504 Tlm Diagnostics LLC Clinical Medical Laboratory 9441 Stevens Rd, Suite 100, Shreveport, LA 71106-7567 2016-02-22
1710237615 Med-consult, Inc Clinical Medical Laboratory 8575 Fern Ave Ste 110, Shreveport, LA 71105-5677 2012-09-18
1215258645 Ark-la-tex, LLC Clinical Medical Laboratory 3029 Risinger Dr, Shreveport, LA 71119-2716 2010-06-21
1144363169 Laboratory Corporation of America Holdings Clinical Medical Laboratory 301 Bert Kouns, Shreveport, LA 71106 2007-02-15
1881677078 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5634 2005-11-22
1649279910 The Delta Pathology Group, L.L.C. Clinical Medical Laboratory 2915 Missouri Ave, Shreveport, LA 71109-4327 2005-07-19
1942853551 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 850 Olive St Ste A, Shreveport, LA 71104-2162 2019-07-23
1629402086 Gnd Operating, LLC Clinical Medical Laboratory 3939 Lakeshore Dr, Ste 4, Shreveport, LA 71109-1925 2013-08-21
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Competitor

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City SHREVEPORT
Zip Code 71103

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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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