MR. LARIN TIMOTHY CLARK IDMT, LPN
NPI 1245792332
Military Health Care Provider - Independent Duty Medical Technicians in Barksdale Afb, LA

Active since April 05, 2019
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110(318) 456-6555 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2025, Apr 5, 2019 (2 updates tracked since 2019).

About Mr. Larin Timothy Clark Idmt, Lpn NPPES

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

MR. LARIN TIMOTHY CLARK IDMT, LPN (NPI 1245792332) is an individual independent duty medical technicians provider in Barksdale Afb, Louisiana and active in the NPI registry since April 2019. He maintains a secondary practice location in Travis Afb.

NPPES Registry Identity

NPI1245792332
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. LARIN TIMOTHY CLARKCredential: IDMT, LPN
Location Address243 CURTISS RD STE 100Barksdale Afb, LA 71110-2425
Mailing Address243 Curtiss Rd Ste 100Barksdale Afb, LA 71110-2425 · (318) 456-6555
Sole ProprietorNo
Enumeration DateApril 5, 2019
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1245792332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 0002105974 (LA)
243 CURTISS RD STE 100, Barksdale Afb, LA 71110

Secondary Practice Location 1

Location 1101 Bodin CirTravis AFB, CA 94535-1809 · Phone (707) 423-3727

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Nurse Practitioner (Women's Health)
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Social Worker (Clinical)
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Pediatrics
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Physician Assistant
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Pediatrics
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Dentist
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110
Nurse Practitioner (Family)
243 CURTISS RD STE 100
BARKSDALE AFB, LA 71110

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 Larin Clark's NPI number?

The NPI number for Larin Clark is 1245792332. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Larin Clark located?

Larin Clark practices at 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110. The listed phone number is (318) 456-6555.

What is Larin Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Larin Clark was last updated on November 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.