EMD PRIMARY CARE LLC
NPI 1205706488
Family Medicine in Bossier City, LA

Active since November 11, 2025CLIA 19D2337415 · Waiver
1011 CHINABERRY DR STE 200, BOSSIER CITY, LA 71111(318) 392-3372 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Emd Primary Care Llc NPPES

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

EMD PRIMARY CARE LLC (NPI 1205706488) is a healthcare organization registered as a family medicine in Bossier City, Louisiana and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Joseph Monsour, Manager, as its authorized official.

NPPES Registry Identity

NPI1205706488
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEMD PRIMARY CARE LLC
Location Address1011 CHINABERRY DR STE 200Bossier City, LA 71111-2438
Mailing Address1011 Chinaberry Dr Ste 200Bossier City, LA 71111-2438
Organization SubpartNo
Authorized OfficialJoseph MonsourManager · (318) 250-2587
Enumeration DateNovember 11, 2025
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1205706488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1011 CHINABERRY DR STE 200, Bossier City, LA 71111

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 19D2337415

Emd Primary Care LLC · Bossier City, LA
Active · expires Jan 21, 2028
CLIA Number19D2337415
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorAdam Mossallati
Laboratory Phone(318) 392-3372
Laboratory LocationEmd Primary Care LLC1011 Chinaberry Dr Ste 200, Bossier City, LA 71111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Emd Primary Care LLC's NPI number?

The NPI number for Emd Primary Care LLC is 1205706488. It was assigned to this organization in the NPPES registry on November 11, 2025.

Where is Emd Primary Care LLC located?

Emd Primary Care LLC is located at 1011 Chinaberry Dr Ste 200, Bossier City, LA 71111. The listed phone number is (318) 392-3372.

What is Emd Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Emd Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2337415) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emd Primary Care LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.