ARKLATEX SPINE
NPI 1245710920
Non-Pharmacy Dispensing Site in Shreveport, LA
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 19D2064386
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 01-22-2028
About ARKLATEX SPINE
This page provides the complete NPI Profile along with additional information for Arklatex Spine, a provider established in Shreveport, Louisiana operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1245710920 assigned on August 2018. The practitioner's primary taxonomy code is 332900000X with license number MD.020437 (LA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Arklatex Spine. The authorized official of this NPI record is Mackenzie Hahn (Ncpdp Coordinator)
- NPI
- 1245710920 Verify this NPI
- Provider Legal Name
- JEFFEREY DOUGLAS ADAIR MD
- Other Organization Name
- ARKLATEX SPINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8860 FERN AVE. SUITE 120 SHREVEPORT, LA 71105
- Location Phone
- (318) 841-9999
- Location Fax
- (318) 841-9996
- Mailing Address
- 200 RITTENHOUSE CIRCLE EAST BUILDING STE 5 BRISTOL, PA 19007
- Mailing Phone
- (855) 295-3757
- Mailing Fax
- (866) 740-4689
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2018
- Last Update Date
- 08-21-2018
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- MD.020437
- License State
- LA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 19D2064386
- Facility Type
- Community Clinic
- Certificate Effective Date
- January 23, 2026
- Certificate Expiration Date
- January 22, 2028
- Laboratory Director
- BRANDI K. LINTON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Arklatex Spine after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245710920, enumerated as an "organization" on August 21, 2018.
The provider is located at 8860 FERN AVE. SUITE 120 SHREVEPORT, LA 71105 and the phone number is (318) 841-9999.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
