Lake Charles Urgent Care

Organization Active NPI Urgent Care Clinic/Center · Lake Charles, LA

NPI 1306135892 · NPPES record last updated Jun 26, 2025

Key facts

NPI
1306135892
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
LAKE CHARLES URGENT CARE
Practice address
1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone
(337) 990-8000
Fax
(337) 990-8010
NPI assigned
Apr 5, 2011
Organization subpart
No

Authorized official

Name
Melvin J Marque, MD NPI 1063404747
Title
Owner/Medical Director
Phone
(337) 990-8000

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Member organizations 1

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

Practitioners 52

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

View all 52

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2024375Lake Charles Urgent Care, LLC
1905 Country Club Rd, Lake Charles, LA 70605
Certificate of waiverMay 15, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110817000061 LA Part B Supplier - Clinic/Group Practice 1052580644 Receives reassigned benefits from 51 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

Locations

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

1905 Country Club Rd
Lake Charles, LA 70605-5203

Mailing address

1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone (337) 990-8000

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Urgent Care Clinic/Center in Louisiana

Sources for this page

Verify at the official NPI Registry.