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LAKELAND REGIONAL HEALTH SYSTEM, INC
NPI 1114393469
General Practice in Lakeland, FL

Active since August 20, 2015CLIA Certified · 3 labs
3644 INNOVATION DR, LAKELAND, FL 33812(863) 284-1583(863) 413-4822 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2023, Dec 28, 2022, Mar 4, 2022 and 1 more (4 updates tracked since 2019).

About Lakeland Regional Health System, Inc NPPES

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

LAKELAND REGIONAL HEALTH SYSTEM, INC (NPI 1114393469) is a healthcare organization registered as a general practice in Lakeland, Florida and active in the NPI registry since August 2015. The organization holds 3 active CLIA laboratory certificates and lists Lance Green, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114393469
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLAKELAND REGIONAL HEALTH SYSTEM, INC
Location Address3644 INNOVATION DRLakeland, FL 33812-4105
Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805 · (863) 687-1100 · Fax (863) 630-6528
Phone(863) 284-1583
Fax(863) 413-4822
Organization SubpartNo
Authorized OfficialLance GreenCfo · (863) 687-1100
Enumeration DateAugust 20, 2015
Last NPPES UpdateApril 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1114393469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
3644 INNOVATION DR, Lakeland, FL 33812
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Other Identifiers 1

Medicaid263421022FL

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 3

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 10D2257299

Lakeland Regional Health · Lakeland, FL
Active · expires Apr 3, 2028
CLIA Number10D2257299
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health3644 Innovation Dr, Lakeland, FL 33812
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2307496

Lakeland Regional Health Systems Inc · Lakeland, FL
Active · expires Jul 9, 2028
CLIA Number10D2307496
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorBrian Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health Systems Inc4729 Us Highway 98 South Suite 104, Lakeland, FL 33812
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2307248

Lakeland Regional Health · Lakeland, FL
Active · expires Jul 2, 2028
CLIA Number10D2307248
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health5101 Us Highway 98 South, Lakeland, FL 33812
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

BARTOW HMA PHYSICIAN MANAGEMENT, LLC
Urology
3644 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 701-2053
BARTOW HMA PHYSICIAN MANAGEMENT LLC
Surgery
3644 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 701-2053
DR. LINDSEY ANN HAHN D.O.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
3644 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 284-1583
MEDICAL HOME ALLIANCE LLC
Internal Medicine
3644 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 646-6295
BARTOW HMA PHYSICIAN MANAGEMENT LLC
Surgery
3644 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 701-2053
JACQUELINE MEYERS
Physician Assistant (Surgical)
3644 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 687-1100

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 Lakeland Regional Health System, Inc's NPI number?

The NPI number for Lakeland Regional Health System, Inc is 1114393469. It was assigned to this organization in the NPPES registry on August 20, 2015.

Where is Lakeland Regional Health System, Inc located?

Lakeland Regional Health System, Inc is located at 3644 Innovation Dr, Lakeland, FL 33812. The listed phone number is (863) 284-1583.

What is Lakeland Regional Health System, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Lakeland Regional Health System, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lakeland Regional Health System, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lakeland Regional Health System, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeland Regional Health System, Inc was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.