Active NPI
C Gregory Bowling MD a Professional Medical Corporation
Doing business as Medical Laboratory of SW LA
- Anatomic Pathology & Clinical Pathology Physician
- Lake Charles, LA
National Provider Identifier
1104963107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION
- Doing business as
- Medical Laboratory of SW LA
- Practice address
- 1910 Oak Park Blvd
Lake Charles, LA 70601-8916 - Phone
- (337) 478-1214
- Fax
- (337) 478-2544
- NPI assigned
- Jan 30, 2007
- Last updated
- Sep 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- C. Gregory Bowling, M.D.
- Title
- President
- Phone
- (337) 478-1214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1910 Oak Park Blvd
Lake Charles, LA 70601-8916
Mailing address
1910 Oak Park Blvd
Lake Charles, LA 70601-8916
Phone (337) 478-1214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1946150 | Medicaid | LA |
Other names 1
- Medical Laboratory of SW LA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lake Charles, LA
- NPI 1518004613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283472000000",
"number": "1104963107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018916",
"telephone_number": "337-478-1214",
"fax_number": "337-478-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018916",
"telephone_number": "337-478-1214",
"fax_number": "337-478-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2010-09-03",
"status": "A",
"authorized_official_last_name": "BOWLING",
"authorized_official_first_name": "C.",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-478-1214",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1946150",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Laboratory of SW LA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Charles, LA
- David Buttross III, MD
- Brandi Shanelle Buxton-Cox, FNP-C
- Jessica Byerly, LPC
- Gerald W Byrd, MD
- C Dunning Medical Transportation
- C H Wilkinson Physician Network (CHRISTUS Medical Group)
- C. Gregory Bowling, M.D., Apmc (Medical Laboratory of SW LA)
- Ca Murphy Medical Group LLC
- Cadence of Acadiana, Inc.
- Cadence of Acadiana, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.