Active NPI
1St Choice Drug & Testing Services
- Point of Service
- Shreveport, LA
National Provider Identifier
1770934689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.