LAKELAND REGIONAL HEALTH SYSTEMS, INC. - NPI 1053757526

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Lakeland Regional Health Systems, Inc. NPPES

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

LAKELAND REGIONAL HEALTH SYSTEMS, INC. (NPI 1053757526) is a healthcare organization registered as a multi-specialty in Winter Haven, Florida and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Lance Green, Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053757526

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLAKELAND REGIONAL HEALTH SYSTEMS, INC.

Location Address430 E CENTRAL AVEWinter Haven, FL 33880-3050

Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805 · (863) 687-1100 · Fax (863) 630-6528

Phone(863) 284-6850

Fax(863) 284-6853

Organization SubpartNo

Authorized OfficialLance GreenVp, Cfo · (863) 687-1100

Enumeration DateMay 10, 2013

Last NPPES UpdateJanuary 4, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2023

✔ NPI 1053757526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

430 E CENTRAL AVE, Winter Haven, FL 33880

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Other Identifiers 1

Medicaid263421004FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D0293299

Lakeland Regional Health · Winter Haven, FL

Active · expires Mar 30, 2028

CLIA Number10D0293299

Laboratory TypePhysician Office

Certificate Effective DateMarch 31, 2026

Certificate Expiration DateMarch 30, 2028

Laboratory DirectorBrian J. Yoder

Laboratory Phone(863) 687-1436

Laboratory LocationLakeland Regional Health430 E Central Ave, Winter Haven, FL 33880

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

RAUL ALVAREZ JR. M.D.

Pediatrics