Magnolia Diagnostic Services Inc.
NPI 1770375768 · Nurse Practitioner · Shreveport, LA
Magnolia Diagnostic Services Inc. is a Nurse Practitioner organization in Shreveport, LA (NPI 1770375768).
Provider details
- NPI number
- 1770375768
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dewarrent Brantley, Ceo/Owner(318) 840-9074
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Magnolia Diagnostic Services Inc.'s NPI number?
- Magnolia Diagnostic Services Inc.'s National Provider Identifier (NPI) is 1770375768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Diagnostic Services Inc.?
- Magnolia Diagnostic Services Inc. is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Magnolia Diagnostic Services Inc. located?
- Magnolia Diagnostic Services Inc.'s practice location on file with NPPES is 4005 Lakeshore Dr, Shreveport, LA 71109-1927.
- What is Magnolia Diagnostic Services Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Magnolia Diagnostic Services Inc. is (318) 840-9074.
- Who is the authorized official for Magnolia Diagnostic Services Inc.?
- The authorized official listed on Magnolia Diagnostic Services Inc.'s NPPES record is Dewarrent Brantley, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Diagnostic Services Inc.'s NPI active?
- Yes — Magnolia Diagnostic Services Inc.'s NPI (1770375768) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.