Biostat Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

42273804K Issued in LA

Legal business name

BIOSTAT LABORATORIES, LLC

Practice address

9742 Saint Vincent Ave Ste 200
Shreveport, LA 71106

Phone

(318) 606-6050

Fax

(318) 606-6051

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Ron J. Kilgarlin Jr.

Title

Ceo

Phone

(318) 798-3306

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1437690849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E 70TH ST",
            "address_2": "PMB 404",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055115",
            "telephone_number": "318-798-3306",
            "fax_number": "318-798-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9742 SAINT VINCENT AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-606-6050",
            "fax_number": "318-606-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSTAT LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "KILGARLIN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-798-3306",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "42273804K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Louisiana, LLC
• Bio-Medical Applications of Louisiana, LLC
• Biomedical Research Foundation of Northwest Louisiana
• Biomedical Research Foundation of Northwest Louisiana
• Biomedical Research Foundation of Northwest Louisiana
• Alexandra Birch
• Angela Birdsong Fellows, NP
• Joasetta Birdsong
• Leona Birdsong
• Birth Well Shreveport Nonprofit Corporation

• Clinical Medical Laboratory in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.