THE DELTA PATHOLOGY GROUP, L.L.C. (NPI# 1649279910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649279910 |
| Entity Type | Organization |
| Organization Name | THE DELTA PATHOLOGY GROUP, L.L.C. |
| Practice Address |
2915 Missouri Ave Shreveport LA 71109-4327 |
| Practice Telephone | 3186218820 |
| Practice Fax Number | 3186219525 |
| Mailing Telephone | 3186218820 |
| Mailing Fax Number | 3186219525 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBBIE FARNSLEY (BILLING ADMINISTRATOR) |
| Authorized Official Telephone | 3186218820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2915 MISSOURI AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992151542 | Mary Lowery Nordberg | Genetic Counselor, MS | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2016-05-12 |
| 1134495401 | Aaron Joseph Cotrell | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2012-03-30 |
| 1144515412 | Kirtesh Harshad Patel | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-06-15 |
| 1487944930 | Matthew Bryan Mastrodomenico | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-04-17 |
| 1679872329 | Luis Soto | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-03-21 |
| 1104144211 | Jared Dale Barker | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2010-05-13 |
| 1659515351 | Bruce Herrington | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2009-04-24 |
| 1093975039 | Jill Anne Ferguson | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2008-06-12 |
| 1609049220 | Andrew Blake Sholl | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2008-04-03 |
| 1871627067 | The Delta Pathology Group LLC | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| 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 |
| 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 |
| 1639438138 | E and A Labs and Imaging LLC | Clinical Medical Laboratory | 2401 Greenwood Rd, Shreveport, LA 71103-4010 | 2012-05-03 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
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| 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.