# C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Laboratory of SW LA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104963107
- **Authorized official:** C. GREGORY BOWLING M.D. (PRESIDENT)
- **Authorized official phone:** (337) 478-1214

## Contact information

- **Practice address:** 1910 OAK PARK BLVD, LAKE CHARLES, LA 70601-8916
- **Practice address phone:** (337) 478-1214
- **Practice address fax:** (337) 478-2544
- **Mailing address:** 1910 OAK PARK BLVD, LAKE CHARLES, LA 70601-8916
- **Mailing address phone:** (337) 478-1214
- **Mailing address fax:** (337) 478-2544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 09/03/2010