Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Other names
WK Outpatient Lab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT COOK (ACCOUNTANT)
(318) 212-4544
Entity
Organization
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
PO BOX 32600, SHREVEPORT, LA 71130-2600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
03/08/2019
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