Individual provider · Type 1 NPI

Larin Timothy Clark, IDMT, LPN

Independent Duty Medical Technicians · Barksdale Afb, LA

NPI number 1245792332 Active

Practice location

243 Curtiss Rd Ste 100
Barksdale Afb, LA 71110-2425

Call (318) 456-6555 Map

Other practice locations

  • 101 Bodin Cir, Travis Afb, CA 94535-1809 · (707) 423-3727

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone listed
Licensed Practical Nurse 164W00000X0002105974 (LA)

Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …

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About NPI 1245792332

Larin Timothy Clark, IDMT, LPN's National Provider Identifier is 1245792332, issued on Apr 5, 2019. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Barksdale Afb, LA. The record was last updated on Nov 7, 2025.