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NORTH LAKESIDE MEDICAL CLINIC LLC
NPI 1427628890
Physiological Laboratory in Lake Charles, LA

Active since June 29, 2021
1718 N MARTIN LUTHER KING HWY, LAKE CHARLES, LA 70601(337) 433-6500 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2021, Jun 29, 2021 (2 updates tracked since 2021).

About North Lakeside Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH LAKESIDE MEDICAL CLINIC LLC (NPI 1427628890) is a healthcare organization registered as a physiological laboratory in Lake Charles, Louisiana and active in the NPI registry since June 2021. The organization lists Frank Gray, Director, as its authorized official.

NPPES Registry Identity

NPI1427628890
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameNORTH LAKESIDE MEDICAL CLINIC LLC
Location Address1718 N MARTIN LUTHER KING HWYLake Charles, LA 70601-1351
Mailing Address1718 N Martin Luther King HwyLake Charles, LA 70601-1351
Phone(337) 433-6500
Organization SubpartNo
Authorized OfficialFrank GrayDirector · (844) 212-5321
Enumeration DateJune 29, 2021
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1427628890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
1718 N MARTIN LUTHER KING HWY, Lake Charles, LA 70601
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH LAKE PAIN CLINIC
Pain Medicine (Pain Medicine)
1718 N MARTIN LUTHER KING HWY
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 433-6500
DR. VANCHI RONNIE VU MD
Pain Medicine (Pain Medicine)
1718 N MARTIN LUTHER KING HWY
LAKE CHARLES, LA 70601
Calcasieu Parish (318) 272-7926
KTN MEDICAL LLC
General Practice
1718 N MARTIN LUTHER KING HWY
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 433-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Lakeside Medical Clinic LLC's NPI number?

The NPI number for North Lakeside Medical Clinic LLC is 1427628890. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is North Lakeside Medical Clinic LLC located?

North Lakeside Medical Clinic LLC is located at 1718 N Martin Luther King Hwy, Lake Charles, LA 70601. The listed phone number is (337) 433-6500.

What is North Lakeside Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for North Lakeside Medical Clinic LLC was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.