OIG exclusion detail
SHREVEPORT PROTHETICS, INC
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1700120524
- Name
- SHREVEPORT PROTHETICS, INC
- Address
- 181 FAIRFIELD AVE, SUITE 301, SHREVEPORT, LA, 71101
- Specialty
- DME - PROSTHETICS
- Exclusion type
- BRCH CIA
- Exclusion date
- 20210901
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page