MARTIN LUTHER KING HEALTH CENTER
NPI 1265675029
Clinic/Center in Shreveport, LA
NPI Status: Active since April 09, 2009
Contact Information
1233 SPRAGUE ST.
SHREVEPORT, LA
ZIP 71101
Phone: (318) 227-2912
Fax: (318) 227-8105
- Organization
- Clinic/Center
- CLIA Number: 19D1088202
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-31-2028
About MARTIN LUTHER KING HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Martin Luther King Health Center, a provider established in Shreveport, Louisiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1265675029 assigned on April 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Janet M Mentesane (Executive Director)
- NPI
- 1265675029
- Provider Name
- MARTIN LUTHER KING HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 1233 SPRAGUE ST. SHREVEPORT, LA 71101
- Location Phone
- (318) 227-2912
- Location Fax
- (318) 227-8105
- Mailing Address
- 1233 SPRAGUE ST. SHREVEPORT, LA 71101
- Mailing Phone
- (318) 227-2912
- Mailing Fax
- (318) 227-8105
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2009
- Last Update Date
- 04-09-2009
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | 2441-CH (LA) |
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
- 19D1088202
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 01, 2026
- Certificate Expiration Date
- May 31, 2028
- Laboratory Director
- ROBERT H. JACKSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Martin Luther King Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for MARTIN LUTHER KING HEALTH CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265675029, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265675029, enumerated as an "organization" on April 09, 2009.
The provider is located at 1233 SPRAGUE ST. SHREVEPORT, LA 71101 and the phone number is (318) 227-2912.
Clinic/Center with taxonomy code 261Q00000X.
