Organization Active NPI

The Pathology Laboratory, Inc.

  • Clinical Medical Laboratory
  • Lake Charles, LA
National Provider Identifier
1215917588
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THE PATHOLOGY LABORATORY, INC.
Practice address
830 W Bayou Pines Dr
Lake Charles, LA 70601-7077
Phone
(337) 436-9557
Fax
(337) 439-3085
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joshua Collins Darby, MBA
Title
Director of Support Services
Phone
(337) 312-1252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

830 W Bayou Pines Dr
Lake Charles, LA 70601-7077

Mailing address

830 W Bayou Pines Dr
Lake Charles, LA 70601-7077
Phone (337) 436-9557

Other practice location 1

1810 Bertrand Dr
Lafayette, LA 70506-2055
Phone (337) 233-1899

Other identifiers 3

IdentifierTypeStateIssuer
639081OtherLATJC
1027732MedicaidLA
19D0461807OtherLACLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050511000192 LA Part B Supplier - Clinic/Group Practice 0941240782 Receives reassigned benefits from 16 practitioners
Practice locations: Lake Charles, LA
O20071217000463 LA Part B Supplier - Independent Clinical Laboratory 0941240782 Practice locations: Lafayette, LA; Lake Charles, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0461807Pathology Laboratory830 W Bayou Pines Drive, Lake Charles, LA 70601AccreditationFeb 27, 2027
19D1073159Pathology Laboratory, Inc, the1810 Bertrand Drive, Lafayette, LA 70506ComplianceMar 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Microbiology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

830 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 436-9557

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1215917588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017077",
            "telephone_number": "337-436-9557",
            "fax_number": "337-439-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017077",
            "telephone_number": "337-436-9557",
            "fax_number": "337-439-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Bertrand Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705062055",
            "country_code": "US",
            "telephone_number": "337-233-1899",
            "fax_number": "337-233-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PATHOLOGY LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "DIRECTOR OF SUPPORT SERVICES",
        "authorized_official_telephone_number": "337-312-1252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TJC",
            "identifier": "639081",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027732",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "19D0461807",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.