OrganizationActive
E and a Labs and Imaging LLC
NPI 1639438138 · Clinical Medical Laboratory · Shreveport, LA
Provider details
- NPI number
- 1639438138
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- David Vandermolen, Manager(318) 841-5800
Specialties & taxonomies
Laboratories
Practice location
2401 Greenwood Rd
Shreveport, LA 71103-4010
Phone: (318) 344-4045
Approximate (ZIP-level) locationGet directions
Mailing address
2401 Greenwood Rd
Shreveport, LA 71103-4010
Registry dates
- Enumerated
- 2012-05-03
- Last updated
- 2020-03-18
- Certified
- 2020-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.