OrganizationActive
Magnolia Diagonstic Services Inc.
NPI 1821225806 · Multi-Specialty Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1821225806
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dewarrent Brantley, Ceo/ President(318) 678-0709
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
2005 Creswell Ave
Shreveport, LA 71104-2201
Phone: (318) 678-0709
Street-level locationGet directions
Mailing address
2005 Creswell Ave
Shreveport, LA 71104-2201
Other names (DBA / former)
- Former legal business name
- No
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2009-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.