Green Clinic LLC

Green Clinic LLC is a healthcare organization registered as Clinical Medical Laboratory in Ruston, LA, holding Type 2 (organization) NPI 1457330185 since 2006. The authorized official on file is Lori Keen, Ceo.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1457330185
Entity type	Organization (Type 2)
Legal business name	Green Clinic LLC
Parent organization	Green Clinic LLC
Practice address	1200 S FARMERVILLE ST, Ruston, LA, 71270
Phone	3182516216
Enumeration date	2006-01-11
Last updated in NPPES	2024-12-27

Authorized official

Name	Lori Keen
Title	Ceo
Phone	3182516304

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
291U00000X	Clinical Medical Laboratory	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
C5055	Other	LA	BCBS LAB
1542580	Medicaid	LA	—
690004423	Other	LA	RR MEDICARE LAB

Copy-ready billing details

Provider: Green Clinic LLC
NPI: 1457330185
Taxonomy: 291U00000X (Clinical Medical Laboratory)
Address: 1200 S FARMERVILLE ST, Ruston, LA, 71270

Providers at this address

NPI	Name	Type	Specialty	Location
1831178755	Green Clinic LLC	Organization	Family Medicine Physician	Ruston, LA
1235109315	Ronald Anders	Individual	Gynecology Physician	Ruston, LA
1578533683	Thomas Brantley	Individual	Family Medicine Physician	Ruston, LA
1619947629	Greene Butler	Individual	Surgery Physician	Ruston, LA
1952371965	Marlene Daher	Individual	Pediatrics Physician	Ruston, LA
1689644585	Terry Gardner	Individual	Family Medicine Physician	Ruston, LA
1275503161	Dean Kirby	Individual	Family Medicine Physician	Ruston, LA
1184694903	Derek Mcclusky	Individual	Surgery Physician	Ruston, LA

Verify this record

Cross-check NPI 1457330185 against the authoritative CMS record: view Green Clinic LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-27. Verify at npiregistry.cms.hhs.gov.

Where is Green Clinic LLC located?

The practice location on file with NPPES is in Ruston, LA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-27.