Organization
MAGNOLIA DIAGNOSTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWARRENT LEE BRANTLEY (CEO/OWNER)
(318) 840-9074
Entity
Organization
Contact information
Practice address
4005 LAKESHORE DR, SHREVEPORT, LA 71109-1927
(318) 840-9074
Mailing address
4005 LAKESHORE DR, SHREVEPORT, LA 71109-1927
(318) 840-9074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us