Organization Active NPI

Bayou Tox, LLC

Doing business as Parish Labs

  • Clinical Medical Laboratory
  • Gonzales, LA
National Provider Identifier
1952869612
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BAYOU TOX, LLC
Doing business as
Parish Labs
Practice address
40497 Black Bayou Ext Ste a
Gonzales, LA 70737-6808
Phone
(225) 744-9604
Fax
(225) 208-1685
NPI assigned
Mar 12, 2019
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Mr. Robert Wilson
Title
Owner
Phone
(225) 953-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

40497 Black Bayou Ext Ste a
Gonzales, LA 70737-6808

Mailing address

40497 Black Bayou Ext Ste a
Gonzales, LA 70737-6808
Phone (225) 744-9604

Other names 1

  • Parish Labs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618000824 LA Part B Supplier - Independent Clinical Laboratory 0143553511 Practice locations: Gonzales, LA

National Provider Directory

National Provider Directory

Locations

39299 Tommy Moore Rd
Gonzales, LA 70737
Phone (225) 744-9604

40497 Black Bayou Ext
Gonzales, LA 70737

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1952869612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40497 BLACK BAYOU EXT STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376808",
            "telephone_number": "225-744-9604",
            "fax_number": "225-208-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40497 BLACK BAYOU EXT STE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376808",
            "telephone_number": "225-744-9604",
            "fax_number": "225-208-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU TOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-953-0127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parish Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parish Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.