Organization · Type 2 NPI

Willis Knighton Medical Center, Inc.

Clinical Medical Laboratory · Shreveport, LA

NPI number 1730645201 Active

Practice location

2600 Greenwood Rd
Shreveport, LA 71103-3908

Call (318) 212-4000 Map

Mailing address

PO Box 32600
Shreveport, LA 71130-2600

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center	261QR0200X	None listed
Clinical Medical Laboratory Primary	291U00000X	None listed

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 det…

141 other providers at this address

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NPI record

NPI: 1730645201
Entity type: Organization (Type 2)
Issued: Feb 20, 2019
Last updated: Mar 8, 2019
Status: Active

Other names

<unavail>
WK Outpatient Lab Services · doing business as
WK Outpatient Lab Services · doing business as

Authorized official

Michael Scott Cook
Accountant
(318) 212-4544

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730645201

Willis Knighton Medical Center, Inc.'s National Provider Identifier is 1730645201, issued on Feb 20, 2019. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 8, 2019.