EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
NPI 1649350968
Otolaryngology in Shreveport, LA
About Ear Nose & Throat Center A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION (NPI 1649350968) is a healthcare organization registered as an otolaryngology in Shreveport, Louisiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists W. Juan Watkins, President, as its authorized official.Information from the official NPPES registry record, last updated July 12, 2007.
NPPES Registry Identity
★ Primary Specialty
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the… Show more
Also on File with NPPES
5C056 (Medicare ID-Type Unspecified, 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
- 19D0983739
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2025
- Certificate Expiration Date
- February 28, 2027
- Laboratory Director
- W J. WATKINS, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ear Nose & Throat Center A Medical Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
SHREVEPORT, LA 71104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649350968, enumerated as an "organization" on October 17, 2006.
The provider is located at 2121 LINE AVE SHREVEPORT, LA 71104 and the phone number is (318) 226-9441.
Otolaryngology with taxonomy code 207Y00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.
