Clintox Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINTOX LABORATORIES, LLC

Practice address

109 Regency PL
Ste B
West Monroe, LA 71291-4453

Phone

(318) 387-0005

Fax

(318) 651-8774

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Billy W Gaston

Title

Ceo

Phone

(318) 387-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659435998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 REGENCY PL",
            "address_2": "STE B",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914453",
            "telephone_number": "318-387-0005",
            "fax_number": "318-651-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 REGENCY PL",
            "address_2": "STE B",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914453",
            "telephone_number": "318-387-0005",
            "fax_number": "318-651-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTOX LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-387-0005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174513",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Clark, M.D.
• Traci B Clark, LPC
• Clarence Lee Clay II, MS
• Katherine Clement
• Christina Carol Clements, M.A., LPC
• Kim Cloe, M.S.,LPC
• Clyde E. Elliott, M. D. a Professional Corporation
• Jeremy Cobb
• Cobb'S Pharmacy LLC
• Leslie Robin Coffman, M.D.

• Clinical Medical Laboratory in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.