Organization Active NPI

Victoria Healthcare Resources

  • Clinical Medical Laboratory
  • Pleasant Hill, LA
National Provider Identifier
1528514221
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VICTORIA HEALTHCARE RESOURCES
Practice address
2300 West Second Street
Pleasant Hill, LA 71065
Phone
(318) 796-3896
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Ms. Ashlye Lindsey
Title
Board Member
Phone
(318) 698-3250

Specialties & licenses 1

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

Addresses

Primary practice location

2300 West Second Street
Pleasant Hill, LA 71065

Mailing address

9441 Stevens Rd
Suite 100-B
Shreveport, LA 71106-7567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170214000139 LA Part B Supplier - Independent Clinical Laboratory 0042593204 Practice locations: Pleasant Hill, LA

National Provider Directory

National Provider Directory

Locations

8516 Stoddard St
Pleasant Hill, LA 71065
Phone (318) 796-2005

9441 Stevens Rd
Ste 100B
Shreveport, LA 71106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1528514221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 STEVENS RD",
            "address_2": "SUITE 100-B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WEST SECOND STREET",
            "city": "PLEASANT HILL",
            "state": "LA",
            "postal_code": "71065",
            "telephone_number": "318-796-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HEALTHCARE RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "ASHLYE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "318-698-3250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.