Active NPI
White Clover Research Foundation
- Research Clinic/Center
- Shreveport, LA
National Provider Identifier
1356700785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- WHITE CLOVER RESEARCH FOUNDATION
- Practice address
- 460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238 - Phone
- (318) 861-4226
- Fax
- (318) 402-0561
- NPI assigned
- Feb 13, 2016
- 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
- Mrs. Tamara M Smith
- Title
- Manger
- Phone
- (318) 455-8856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238
Mailing address
460 Ashley Ridge Blvd Ste 600
Shreveport, LA 71106-7238
Phone (318) 861-4226
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455321600000",
"number": "1356700785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 ASHLEY RIDGE BLVD STE 600",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067238",
"telephone_number": "318-861-4226",
"fax_number": "318-402-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 ASHLEY RIDGE BLVD STE 600",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067238",
"telephone_number": "318-861-4226",
"fax_number": "318-402-0561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE CLOVER RESEARCH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-13",
"last_updated": "2016-02-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANGER",
"authorized_official_telephone_number": "318-455-8856",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"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 Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.