NPI 1427628890

North Lakeside Medical Clinic LLC

Organisation Physiological Laboratory Lake Charles, LA

Practice location

Address: 1718 N Martin Luther King Hwy, Lake Charles, LA 70601-1351
Phone: (337) 433-6500

Authorised official

Name: Frank Gray
Title: Director
Phone: (844) 212-5321

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Louisiana →

Registry record

NPI: 1427628890
Entity type: Organization
NPI issued: 29 Jun 2021
Record last updated: 28 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.