Organization · NPI-2

1st Choice Drug & Testing Services

Point of Service · Shreveport, LA

NPI number1770934689
StatusActive
Last updated in NPPESJun 22, 2016

Details

NPI
1770934689
Entity type
Organization (NPI-2)
Legal business name
1st Choice Drug & Testing Services
Organization subpart
No
Enumeration date
Jun 22, 2016
Last updated
Jun 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service––Yes

Practice location

1217 Gary St
Shreveport, LA 71101-4323

Phone 318-221-2407 · Fax 318-221-2341

Mailing address

1217 Gary St
Shreveport, LA 71101-4323

Phone 318-221-2407 · Fax 318-221-2341

Authorized official

Derrick L Henderson
C.E.O.
3182212407

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