SHREVEPORT ENDOSCOPY CENTER, A MEDICAL CORPORATION is an endoscopy clinic center in Shreveport, LA. SHREVEPORT ENDOSCOPY CENTER, A MEDICAL CORPORATION NPI is 1982676771. The provider is registered as an organization entity type.
The provider's business location address is:
3217 MABEL ST
SHREVEPORT, LA
ZIP 71103-022
Phone: (318) 631-0072
Fax: (318) 213-4979
The provider's authorized official is Sathya Jaganmohan .
The authorized official title is President and has the following contact phone number (318) 631-0072.
The CLIA number assigned to this NPI record is 19D0676777 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/6/2006 and was last updated on 8/12/2022.