1ST CHOICE MEDICAL LAB LLC
NPI 1255291506
Licensed Practical Nurse in Shreveport, LA

Active since November 17, 2025CLIA 19D2344457 · Waiver
2920 KNIGHT ST STE 131, SHREVEPORT, LA 71105(877) 868-9675 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1st Choice Medical Lab Llc NPPES

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

1ST CHOICE MEDICAL LAB LLC (NPI 1255291506) is a healthcare organization registered as a licensed practical nurse in Shreveport, Louisiana and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Lekisha Russell, Clinical Director/nurse, as its authorized official.

NPPES Registry Identity

NPI1255291506
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business Name1ST CHOICE MEDICAL LAB LLC
Location Address2920 KNIGHT ST STE 131Shreveport, LA 71105-2412
Mailing Address2920 Knight St Ste 131Shreveport, LA 71105-2412 · (877) 868-9675
Organization SubpartNo
Authorized OfficialLekisha RussellClinical Director/nurse · (877) 868-9675
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
NPI 1255291506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2920 KNIGHT ST STE 131, Shreveport, LA 71105

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 19D2344457

1st Choice Medical Lab LLC · Shreveport, LA
Active · expires May 21, 2028
CLIA Number19D2344457
Laboratory TypeIndependent
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorLekisha Russell
Laboratory Phone(877) 866-9675
Laboratory Location1st Choice Medical Lab LLC2920 Knight St Suite 131, Shreveport, LA 71105
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
2920 KNIGHT ST STE 131, SUITE 131
SHREVEPORT, LA 71105

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 1st Choice Medical Lab LLC's NPI number?

The NPI number for 1st Choice Medical Lab LLC is 1255291506. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is 1st Choice Medical Lab LLC located?

1st Choice Medical Lab LLC is located at 2920 Knight St Ste 131, Shreveport, LA 71105. The listed phone number is (877) 868-9675.

What is 1st Choice Medical Lab LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Does 1st Choice Medical Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2344457) is associated with this NPI, valid through May 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 1st Choice Medical Lab LLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.