# 1ST CHOICE MEDICAL LAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255291506
- **Authorized official:** LEKISHA RUSSELL LPN (CLINICAL DIRECTOR/NURSE)
- **Authorized official phone:** (877) 868-9675

## Contact information

- **Practice address:** 2920 KNIGHT ST STE 131, SHREVEPORT, LA 71105-2412
- **Practice address phone:** (877) 868-9675
- **Mailing address:** 2920 KNIGHT ST STE 131, SHREVEPORT, LA 71105-2412
- **Mailing address phone:** (877) 868-9675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 11/17/2025