MAGNOLIA MEDICAL LLC
NPI 1124482617
Prosthetic/Orthotic Supplier in Shreveport, LA
NPI Status: Active since April 11, 2016
Contact Information
1950 E 70TH ST
SUITE H
SHREVEPORT, LA
ZIP 71105
Phone: (318) 219-5219
Fax: (888) 542-4810
- Organization
- Prosthetic/Orthotic Supplier
- CLIA Number: 19D2208892
- CLIA Cert. Type: Other - SUBSTANCE ABUSE
- CLIA Exp. Date: 01-07-2027
About MAGNOLIA MEDICAL LLC
This page provides the complete NPI Profile along with additional information for Magnolia Medical Llc, a provider established in Shreveport, Louisiana operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1124482617 assigned on April 2016. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Tina R Alexander (General Manager)
- NPI
- 1124482617
- Provider Name
- MAGNOLIA MEDICAL LLC
- Entity Type
- Organization
- Location Address
- 1950 E 70TH ST SUITE H SHREVEPORT, LA 71105
- Location Phone
- (318) 219-5219
- Location Fax
- (888) 542-4810
- Mailing Address
- 304 HIGHLAND BLVD SUITE B NATCHEZ, MS 39120
- Mailing Phone
- (601) 442-6493
- Mailing Fax
- (888) 542-4810
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2016
- Last Update Date
- 04-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2208892
- Facility Type
- Other - SUBSTANCE ABUSE
- Certificate Effective Date
- January 08, 2025
- Certificate Expiration Date
- January 07, 2027
- Laboratory Director
- AMANDA VEULEMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Medical Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124482617, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124482617, enumerated as an "organization" on April 11, 2016.
The provider is located at 1950 E 70TH ST SUITE H SHREVEPORT, LA 71105 and the phone number is (318) 219-5219.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
