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19D2288573 CLIA NUMBER - INTEGRATIVE PARTNERS, LLC

Laboratory Demographics

CLIA Number: 19D2288573

Facility Name: INTEGRATIVE PARTNERS, LLC

Facility Address:
1534 ELIZABETH AVE, SUITE 401
SHREVEPORT, LA
ZIP 71101
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Facility Phone Number: 318 333-0797

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1689350845

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 19D2288573
LAB Type Physician Office
Facility Name INTEGRATIVE PARTNERS, LLC
Street 1534 ELIZABETH AVE, SUITE 401
City SHREVEPORT
State LA
ZIP 71101
Phone 318 333-0797
CertificateType 4
CertificateEffectiveDate 8/28/2023
CertificateExpirationDate 8/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024