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MAGNOLIA DIAGONSTIC SERVICES INC.
NPI 1821225806
Clinic/Center - Multi-Specialty in Shreveport, LA

Active since June 17, 2009
2005 CRESWELL AVE, SHREVEPORT, LA 71104(318) 678-0709 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Diagonstic Services Inc. NPPES

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

MAGNOLIA DIAGONSTIC SERVICES INC. (NPI 1821225806), doing business as No, is a healthcare organization registered as a multi-specialty in Shreveport, Louisiana and active in the NPI registry since June 2009. The organization lists Dewarrent L. Brantley, Ceo/ President, as its authorized official.

NPPES Registry Identity

NPI1821225806
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMAGNOLIA DIAGONSTIC SERVICES INC.
Location Address2005 CRESWELL AVEShreveport, LA 71104-2201
Mailing Address2005 Creswell AveShreveport, LA 71104-2201 · (318) 678-0709
Phone(318) 678-0709
Organization SubpartNo
Authorized OfficialDewarrent L. BrantleyCeo/ President · (318) 678-0709
Enumeration DateJune 17, 2009
✔ NPI 1821225806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2005 CRESWELL AVE, Shreveport, LA 71104
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Other Names 1

Former Legal Business NameNo

Other Providers at the Same Location NPPES 4

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

MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 676-0705
MAGNOLIA TRANSPORTATION SERVICES INC.
Non-emergency Medical Transport (VAN)
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 678-0709
MAGNOLIA INTERGRATED HEALTHCARE SERVICES INC
Pharmacy (Clinic Pharmacy)
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 678-0709
MAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2005 CRESWELL AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 678-0907

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 Magnolia Diagonstic Services Inc.'s NPI number?

The NPI number for Magnolia Diagonstic Services Inc. is 1821225806. It was assigned to this organization in the NPPES registry on June 17, 2009. The provider was formerly known as No.

Where is Magnolia Diagonstic Services Inc. located?

Magnolia Diagonstic Services Inc. is located at 2005 Creswell Ave, Shreveport, LA 71104. The listed phone number is (318) 678-0709.

What is Magnolia Diagonstic Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Magnolia Diagonstic Services Inc. was last updated on June 17, 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.