YDI CARE DIAGNOSTICS INC (NPI# 1912029588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912029588 |
| Entity Type | Organization |
| Organization Name | YDI CARE DIAGNOSTICS INC |
| Practice Address |
460 Ashley Ridge Blvd Suite 100 Shreveport LA 71106-7228 |
| Mailing Address |
3610 Avenue Q Suite 216 Lubbock TX 79412-1246 |
| Practice Telephone | 8063927121 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARTIN R GURROLA (PRESIDENT) |
| Authorized Official Telephone | 8063927121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518184688 | Ydi Care Diagnostics Inc | Clinical Medical Laboratory | 7127 Riverside Dr, Suite 100, Tulsa, OK 74136-5053 | 2007-04-19 |
| Street Address |
460 ASHLEY RIDGE BLVD SUITE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851323810 | Russell Wayne Tynes | Internal Medicine | 460 Ashley Ridge Blvd, 500, Shreveport, LA 71106-7228 | 2006-07-07 |
| 1164893178 | White Clover, LLC | Physician Assistant | 460 Ashley Ridge Blvd, Ste 600, Shreveport, LA 71106-7235 | 2015-10-16 |
| 1235442419 | Cds Ashley Ridge | Community/Behavioral Health | 460 Ashley Ridge Blvd, Suite 200, Shreveport, LA 71106-7235 | 2010-07-16 |
| 1427385368 | Bethany Cubley Crosby | Physician Assistant | 460 Ashley Ridge Blvd, Ste 600, Shreveport, LA 71106-7235 | 2009-11-13 |
| 1457531469 | Preston Phillip Peachee II | Chiropractor | 460 Ashley Ridge Blvd, Suite 200, Shreveport, LA 71106-7228 | 2007-11-07 |
| 1902933690 | Dean A. Darr, D.c., P.a. | Chiropractor | 460 Ashley Ridge Blvd, Suite 200, Shreveport, LA 71106-7228 | 2007-02-28 |
| 1568528487 | Charles Stewart Williams | Dentist | 460 Ashley Ridge Blvd, Suite 600, Shreveport, LA 71106-7228 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| 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 | 71106 |
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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.