NPIMap

Organization Active NPI

Louisiana State University Health Sciences Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
National Provider Identifier
1457935587
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Practice address
1501 Kings Highway
Lsuhsc-S Clinics
Shreveport, LA 71103-4228
Phone
(318) 603-8022
Fax
(318) 861-4029
NPI assigned
May 5, 2021
Organization subpart
Yes
Parent organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Leisa P Oglesby
Title
Executive Dir for Medical Services
Phone
(318) 675-7629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1501 Kings Highway
Lsuhsc-S Clinics
Shreveport, LA 71103-4228

Mailing address

PO Box 735328
Dallas, TX 75373-5328
Phone (318) 603-8022

Other names 1

  • LSUHSC-S Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lsu HLTH Sciences Ctr15 organizations share this tax ID, including this one
Part of
Lsu HLTH Sciences Ctr

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1457935587",
    "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": "318-603-8022",
            "fax_number": "318-861-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HIGHWAY",
            "address_2": "LSUHSC-S CLINICS",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-603-8022",
            "fax_number": "318-861-4029"
        }
    ],
    "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": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "LEISA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIR FOR MEDICAL SERVICES",
        "authorized_official_telephone_number": "318-675-7629"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSUHSC-S Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2021; 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.