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MARTIN LUTHER KING HEALTH CENTER
NPI 1265675029
Clinic/Center in Shreveport, LA

Active since April 09, 2009CLIA 19D1088202 · Microscopy
1233 SPRAGUE ST., SHREVEPORT, LA 71101(318) 227-2912(318) 227-8105 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martin Luther King Health Center NPPES

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

MARTIN LUTHER KING HEALTH CENTER (NPI 1265675029) is a healthcare organization registered as a clinic/center in Shreveport, Louisiana and active in the NPI registry since April 2009. The organization holds a CLIA Microscopy certificate valid through May 31, 2028 and lists Janet M Mentesane, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265675029
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARTIN LUTHER KING HEALTH CENTER
Location Address1233 SPRAGUE ST.Shreveport, LA 71101
Mailing Address1233 Sprague St.Shreveport, LA 71101 · (318) 227-2912 · Fax (318) 227-8105
Phone(318) 227-2912
Fax(318) 227-8105
Organization SubpartNo
Authorized OfficialJanet M MentesaneExecutive Director · (318) 227-2912
Enumeration DateApril 9, 2009
✔ NPI 1265675029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPharmacyTaxonomy 333600000X · License 2441-CH (LA)
1233 SPRAGUE ST., Shreveport, LA 71101
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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) 19D1088202

Martin Luther King Health Center · Shreveport, LA
Active · expires May 31, 2028
CLIA Number19D1088202
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorRobert H. Jackson
Laboratory Phone(318) 227-2912
Laboratory LocationMartin Luther King Health Center865 Olive Street, Shreveport, LA 71104
CLIA data matches this NPI record on: Name 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 Martin Luther King Health Center's NPI number?

The NPI number for Martin Luther King Health Center is 1265675029. It was assigned to this organization in the NPPES registry on April 9, 2009.

Where is Martin Luther King Health Center located?

Martin Luther King Health Center is located at 1233 Sprague St., Shreveport, LA 71101. The listed phone number is (318) 227-2912.

What is Martin Luther King Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Martin Luther King Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D1088202) is associated with this NPI, valid through May 31, 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 Martin Luther King Health Center was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.