LOWELL F CLARK MD PA
NPI 1093469983
Clinic/Center in San Antonio, FL

Q: What is Lowell F Clark MD PA's NPI number?

The NPI number for Lowell F Clark MD PA is 1093469983. It was assigned to this organization in the NPPES registry on February 9, 2022.

Q: What is Lowell F Clark MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 09, 2022CLIA 10D0693972 · Certificate of Compliance

12620 CURLEY ST, SAN ANTONIO, FL 33576(352) 787-1600 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lowell F Clark Md Pa NPPES

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

LOWELL F CLARK MD PA (NPI 1093469983) is a healthcare organization registered as a clinic/center in San Antonio, Florida and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through May 18, 2027 and lists Lowell F. Clark, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093469983

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLOWELL F CLARK MD PA

Location Address12620 CURLEY STSan Antonio, FL 33576-8136

Mailing Address212 S Fla StBushnell, FL 33513-6703 · (352) 793-2441

Phone(352) 787-1600

Organization SubpartNo

Authorized OfficialLowell F. ClarkMedical Director · (352) 793-2441

Enumeration DateFebruary 9, 2022

NPPES CertifiedFebruary 9, 2022

✔ NPI 1093469983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12620 CURLEY ST, San Antonio, FL 33576

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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 Compliance 10D0693972

Lowell F Clark MD PA · Bushnell, FL

Active · expires May 18, 2027

CLIA Number10D0693972

Laboratory TypePhysician Office

Certificate Effective DateMay 19, 2025

Certificate Expiration DateMay 18, 2027

Laboratory DirectorDr. Lowell F. Clark

Laboratory Phone(352) 793-2441

Laboratory LocationLowell F Clark MD PA212 S Florida St, Bushnell, FL 33513

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

CLARK CLINIC INC

Clinic/Center (Rural Health)

12620 CURLEY ST
SAN ANTONIO, FL 33576

Pasco County (352) 787-1600

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 Lowell F Clark MD PA's NPI number?

The NPI number for Lowell F Clark MD PA is 1093469983. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Lowell F Clark MD PA located?

Lowell F Clark MD PA is located at 12620 Curley St, San Antonio, FL 33576. The listed phone number is (352) 787-1600.

What is Lowell F Clark MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Lowell F Clark MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0693972) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lowell F Clark MD PA was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.