Ydi Care Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

YDI CARE DIAGNOSTICS INC

Practice address

460 Ashley Ridge Blvd
Suite 100
Shreveport, LA 71106-7228

Phone

(806) 392-7121

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin R Gurrola

Title

President

Phone

(806) 392-7121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912029588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 AVENUE Q",
            "address_2": "SUITE 216",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ASHLEY RIDGE BLVD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067228",
            "telephone_number": "806-392-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YDI CARE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GURROLA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-392-7121"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajini Kanth Reddy Yatavelli, MD
• Charles Robert Yates Jr.
• Chelsea Yates, LPN
• Subhashini Yaturu, MD
• Angel Yazdi
• Yunshin Albert Yeh, M.D.
• Eric Yeo
• Kelly A Yerger, NP
• Payton Yerke
• Sreedevi Yerrapragada, MD

• 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 Aug 22, 2020; 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.