Active NPI
Sonic Labzone Inc
- Clinical Medical Laboratory
- Shreveport, LA
National Provider Identifier
1306025531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SONIC LABZONE INC
- Practice address
- 2533 Bert Kouns Industrial Loop
Suite 217
Shreveport, LA 71118-3158 - Phone
- (318) 344-9101
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikolay Agishev
- Title
- President
- Phone
- (318) 344-9101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2533 Bert Kouns Industrial Loop
Suite 217
Shreveport, LA 71118-3158
Mailing address
6741 Van Nuys Blvd
Suite 207
Van Nuys, CA 91405-4630
National Provider Directory
National Provider DirectoryLocations
6741 Van Nuys Blvd
Van Nuys, CA 91405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193184000000",
"number": "1306025531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6741 VAN NUYS BLVD",
"address_2": "SUITE 207",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
"address_2": "SUITE 217",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183158",
"telephone_number": "318-344-9101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONIC LABZONE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A",
"authorized_official_last_name": "AGISHEV",
"authorized_official_first_name": "NIKOLAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-344-9101"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.