LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER VIRAL DISEASE CLINI is a clinic center in Shreveport, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER VIRAL DISEASE CLINI NPI is 1285635540. The provider is registered as an organization entity type.
The provider's business location address is:
6670 SAINT VINCENT AVE
SHREVEPORT, LA
ZIP 71106-638
Phone: (318) 862-9986
The provider's authorized official is Robert Penn .
The authorized official title is Medical Director and has the following contact phone number (318) 798-5930.
The CLIA number assigned to this NPI record is 19D2259419 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/9/2005 and was last updated on 8/22/2020.