TLM Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

19D0463281 Issued in LA

Legal business name

TLM DIAGNOSTICS LLC

Practice address

9441 Stevens Rd
Suite 100
Shreveport, LA 71106-7567

Phone

(318) 861-0252

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Donna Poimboeuf, BSMT(ASCP)

Title

President

Phone

(318) 861-0252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DOCTORS LAB Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1730548504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 STEVENS RD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067567",
            "telephone_number": "318-861-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 STEVENS RD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067567",
            "telephone_number": "318-861-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "POIMBOEUF",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-861-0252",
        "authorized_official_credential": "BSMT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D0463281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "19D2087051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaria Randle Tisby
• Anthony Tisdale
• Charles Girard Tisdale, PA-C
• James Nicholas Tisdell, PHARMD
• Titan Prosthetics Inc
• TM Smith MD LLC
• John Rucker Todd IV, M.D.
• London Claire Todd, MD
• Piper Todd
• Sheila Todd, BA

• 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 Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.