NPIMap

Organization Active NPI

Louisiana State University Health Sciences Center

  • Clinical Medical Laboratory
  • Shreveport, LA
National Provider Identifier
1336762269
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Practice address
1501 Kings Hwy
Medical School Building 5TH Floor
Shreveport, LA 71103-4228
Phone
(318) 675-7587
Fax
(318) 675-4916
NPI assigned
May 27, 2020
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacey Simpson
Title
Chief Business Officer
Phone
(318) 675-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1501 Kings Hwy
Medical School Building 5TH Floor
Shreveport, LA 71103-4228

Mailing address

PO Box 735328
Dallas, TX 75373-5328
Phone (318) 603-8027

Other names 2

  • Emerging Viral Threat Lab Other name
  • Louisiana Strategic Research Laboratory Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000569 LA Part B Supplier - Independent Clinical Laboratory 6103730908 1 other NPI on this enrollment
Practice locations: Shreveport, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2182390Louisiana Strategic Research Laboratory1501 Kings Highway, Shreveport, LA 71103AccreditationJul 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lsu HLTH Sciences Center15 organizations share this tax ID, including this one
Part of
Lsu HLTH Sciences Center

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1501 Kings Hwy
Bldg 5TH
Shreveport, LA 71103
Phone (318) 675-7587

1505 Kings Hwy
Fl 2
Shreveport, LA 71103
Phone (318) 675-7195

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1336762269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735328",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753735328",
            "telephone_number": "318-603-8027",
            "fax_number": "318-866-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "MEDICAL SCHOOL BUILDING 5TH FLOOR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7587",
            "fax_number": "318-675-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER",
        "enumeration_date": "2020-05-27",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CHIEF BUSINESS OFFICER",
        "authorized_official_telephone_number": "318-675-5230"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerging Viral Threat Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Louisiana Strategic Research Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.