Organization

White Clover Research Foundation

Research Clinic/Center in Shreveport, LA(View on Map)

Legal Business Name

White Clover Research Foundation

NPI Number

1356700785

NPI Type

Organization

Enumeration Date

02/13/2016

Specialties

(Taxonomies)

Code

261QR1100X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

460 ASHLEY RIDGE BLVD STE 600
460 ASHLEY RIDGE BLVD STE 600

City

Shreveport
Shreveport

State

LA
LA

Postal Code

71106-7238
71106-7238

Country

US
US

Telephone Number

(318) 861-4226
(318) 861-4226

Authorized Official

Name

Mrs. Tamara Smith

Title or Position

MANGER

Telephone Number

(318) 455-8856

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/13/2016

Provider Address