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DANZELL FAMILY MEDICAL CLINIC
NPI 1134548175
General Practice in Shreveport, LA

Active since April 07, 2014CLIA 19D0710774 · Microscopy
2500 KINGS HWY, SHREVEPORT, LA 71103(318) 631-4030(318) 631-4031 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Danzell Family Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANZELL FAMILY MEDICAL CLINIC (NPI 1134548175) is a healthcare organization registered as a general practice in Shreveport, Louisiana and active in the NPI registry since April 2014. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists John Davis Danzell, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1134548175
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDANZELL FAMILY MEDICAL CLINIC
Location Address2500 KINGS HWYShreveport, LA 71103-3922
Mailing Address2500 Kings HwyShreveport, LA 71103-3922 · (318) 631-4030 · Fax (318) 631-4031
Phone(318) 631-4030
Fax(318) 631-4031
Organization SubpartYes
Authorized OfficialJohn Davis DanzellMedical Doctor · (318) 631-4030
Enumeration DateApril 7, 2014
✔ NPI 1134548175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in LA · 013603
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2500 KINGS HWY, Shreveport, LA 71103
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Other Identifiers 2

Medicare UPINB63402LA
Medicaid1307891LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0710774

Danzell Family Clinic · Shreveport, LA
Active · expires Aug 31, 2026
CLIA Number19D0710774
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn D. Danzell Jr MD
Laboratory Phone(318) 631-4030
Laboratory LocationDanzell Family Clinic2500 Kings Highway, Shreveport, LA 71103
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danzell Family Medical Clinic's NPI number?

The NPI number for Danzell Family Medical Clinic is 1134548175. It was assigned to this organization in the NPPES registry on April 7, 2014.

Where is Danzell Family Medical Clinic located?

Danzell Family Medical Clinic is located at 2500 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 631-4030.

What is Danzell Family Medical Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Danzell Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0710774) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Danzell Family Medical Clinic accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Danzell Family Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Danzell Family Medical Clinic was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.