Organization Active NPI

C. Gregory Bowling, M.D., Apmc

Doing business as Medical Laboratory of SW LA

  • Clinical Medical Laboratory
  • Lake Charles, LA
National Provider Identifier
1629115365
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
C. GREGORY BOWLING, M.D., APMC
Doing business as
Medical Laboratory of SW LA
Practice address
2739 Magnolia LN
Lake Charles, LA 70605-1011
Phone
(337) 564-6726
Fax
(337) 474-8116
NPI assigned
Jan 31, 2007
Last updated
Apr 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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) 564-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2739 Magnolia LN
Lake Charles, LA 70605-1011

Mailing address

630 W Prien Lake Rd
Suite B No. 294
Lake Charles, LA 70601-0700
Phone (337) 564-6726

Other identifiers 1

IdentifierTypeStateIssuer
1692328MedicaidLA

Other names 1

  • Medical Laboratory of SW LA Doing business as

National Provider Directory

National Provider Directory

Locations

1910 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 478-1214

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1629115365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W PRIEN LAKE RD",
            "address_2": "SUITE B NO. 294",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010700",
            "telephone_number": "337-564-6726",
            "fax_number": "337-474-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 MAGNOLIA LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051011",
            "telephone_number": "337-564-6726",
            "fax_number": "337-474-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. GREGORY BOWLING, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-04-26",
        "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": "337-564-6726",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692328",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Laboratory of SW LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.