LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (NPI# 1891863403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891863403 |
| Entity Type | Organization |
| Organization Name | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER |
| Other Organization Name | LSUHSC-S HISTO IMMUNOLOGY DIGANOSTIC LAB |
| Practice Address |
1541 Kings Hwy Lsu Histo Immunology Diagnostic Lab Shreveport LA 71103-4228 |
| Practice Telephone | 3186755000 |
| Mailing Telephone | 3186755000 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | MELANIE H SOTAK (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 3186757737 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1323861 | 05 |
| Other Name | Type Code |
|---|---|
| LSUHSC-S Histo Immunology Diganostic Lab | Doing Business As Name - Organization |
| 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 |
| 1437383106 | Louisiana State University Health Sciences Center | Clinical Medical Laboratory | 1501 Kings Hwy, Dpeartment of Surgery Histocompatibility Laboratory, Shreveport, LA 71103-4228 | 2009-05-11 |
| 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 |
| Street Address |
1541 KINGS HWY LSU HISTO IMMUNOLOGY DIAGNOSTIC LAB |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1851991947 | Gina Marie Kristiansen | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-28 |
| 1376142893 | Candice Crow | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-26 |
| 1518574441 | Jadebrey Vyshette Kennon | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-24 |
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1255945382 | Frank James List | Pharmacy Technician | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-05 |
| 1700496312 | Caroline Leigh Harris | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-07 |
| 1740899400 | Brittany Allyson Bozzell | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-07-29 |
| 1386253169 | Kristyn Turner | Pharmacist | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-07-28 |
| 1508481722 | Alexandra Blair Lemaire | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-06-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 71103 | ||||
| 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 |
| 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 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER.
| 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.