Organization Active NPI

1St Choice Drug & Testing Services

  • Point of Service
  • Shreveport, LA
National Provider Identifier
1770934689
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
1ST CHOICE DRUG & TESTING SERVICES
Practice address
1217 Gary St
Shreveport, LA 71101-4323
Phone
(318) 221-2407
Fax
(318) 221-2341
NPI assigned
Jun 22, 2016
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Mr. Derrick L Henderson
Title
C.E.O.
Phone
(318) 221-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1217 Gary St
Shreveport, LA 71101-4323

Mailing address

1217 Gary St
Shreveport, LA 71101-4323
Phone (318) 221-2407

National Provider Directory

National Provider Directory

Locations

1217 Gary St
Shreveport, LA 71101
Phone (318) 221-2407

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1770934689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 GARY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014323",
            "telephone_number": "318-221-2407",
            "fax_number": "318-221-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 GARY ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014323",
            "telephone_number": "318-221-2407",
            "fax_number": "318-221-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE DRUG & TESTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "318-221-2407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "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 Jun 22, 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.

Verify at the official NPI Registry.