Healthcare Provider Details

I. General information

NPI: 1346904463
Provider Name (Legal Business Name): SIX POINT LABORATORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 CELEBRITY DRIVE
RUSTON LA
71270
US

IV. Provider business mailing address

PO BOX 202
QUITMAN LA
71268-0202
US

V. Phone/Fax

Practice location:
  • Phone: 318-237-6572
  • Fax:
Mailing address:
  • Phone: 318-259-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DONOVAN SHULTZ
Title or Position: CEO / OWNER
Credential:
Phone: 318-237-6572