Biomedical Research Foundation of Northwest Louisiana

Primary specialty

Nuclear PharmacyTaxonomy code 3336N0007X

License

PHY.005016-NU Issued in LA

Legal business name

BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

Doing business as

Southern Isotopes of Shreveport

Practice address

1868 Kings Hwy
Shreveport, LA 71103-3659

Phone

(318) 459-3719

Fax

(318) 459-3980

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. James D Dean

Title

Executive Vice President

Phone

(318) 675-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Isotopes of Shreveport Doing business as

Locations

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1972924363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38050",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711338050",
            "telephone_number": "318-675-4131",
            "fax_number": "318-675-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033659",
            "telephone_number": "318-459-3719",
            "fax_number": "318-459-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "318-675-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "LA",
            "license": "PHY.005016-NU",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY PERMIT",
            "identifier": "PHY.005016-NU",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Isotopes of Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of Louisiana, LLC
• Bio-Medical Applications of Louisiana, LLC
• Bio-Medical Applications of Louisiana, LLC
• Biomedical Research Foundation of Northwest Louisiana
• Biomedical Research Foundation of Northwest Louisiana
• Biostat Laboratories, LLC
• Alexandra Birch
• Angela Birdsong Fellows, NP
• Joasetta Birdsong
• Leona Birdsong

• Pharmacy in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.