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GULF COAST NEPHROLOGY, LLC
NPI 1982340774
Internal Medicine - Nephrology in Lake Charles, LA

Active since May 05, 2022CLIA 19D2274176 · Waiver
300 18TH ST STE 200, LAKE CHARLES, LA 70601(337) 497-0366(337) 497-1367 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gulf Coast Nephrology, Llc NPPES

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

GULF COAST NEPHROLOGY, LLC (NPI 1982340774) is a healthcare organization registered as a nephrology in Lake Charles, Louisiana and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Diana Del Toro, Officer Of The Company, as its authorized official.

NPPES Registry Identity

NPI1982340774
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGULF COAST NEPHROLOGY, LLC
Location Address300 18TH ST STE 200Lake Charles, LA 70601-7342
Mailing Address300 W Saint Mary BlvdLafayette, LA 70506-4638 · (337) 288-5557
Phone(337) 497-0366
Fax(337) 497-1367
Organization SubpartNo
Authorized OfficialDiana Del ToroOfficer Of The Company · (337) 288-5557
Enumeration DateMay 5, 2022
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1982340774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

300 18TH ST STE 200, Lake Charles, LA 70601
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Other Identifiers 1

Medicaid2602616LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2274176

Gulf Coast Nephrology, LLC · Lake Charles, LA
Active · expires Dec 27, 2026
CLIA Number19D2274176
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorRoderick V. Clark
Laboratory Phone(337) 497-0366
Laboratory LocationGulf Coast Nephrology, LLC300 18th St, Suite 200, Lake Charles, LA 70601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is GULF COAST NEPHROLOGY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1982340774, enumerated as an "organization" on May 05, 2022.

Where is the provider located?

The provider is located at 300 18TH ST STE 200 LAKE CHARLES, LA 70601 and the phone number is (337) 497-0366.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

What insurance does GULF COAST NEPHROLOGY, LLC accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.