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LETS GROW KIDS CLINIC
NPI 1124841085
Pediatrics in Longview, TX

Active since November 07, 2024CLIA 45D2313582 · Waiver
2010 GILMER RD STE 103B, LONGVIEW, TX 75604(903) 309-5689 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lets Grow Kids Clinic NPPES

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

LETS GROW KIDS CLINIC (NPI 1124841085) is a healthcare organization registered as a pediatrics in Longview, Texas and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Tori Johnston, Owner, as its authorized official.

NPPES Registry Identity

NPI1124841085
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLETS GROW KIDS CLINIC
Location Address2010 GILMER RD STE 103BLongview, TX 75604-2545
Mailing Address2010 Gilmer Rd Ste 103bLongview, TX 75604-2545 · (903) 309-5689
Phone(903) 309-5689
Organization SubpartNo
Authorized OfficialTori JohnstonOwner · (903) 309-5689
Enumeration DateNovember 7, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1124841085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2010 GILMER RD STE 103B, Longview, TX 75604
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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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2313582

Let's Grow Kids Clinic · Longview, TX
Active · expires Nov 3, 2026
CLIA Number45D2313582
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorTori Johnston
Laboratory Phone(903) 309-5689
Laboratory LocationLet's Grow Kids Clinic2010 Gilmer Rd Ste 103-B, Longview, TX 75604
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lets Grow Kids Clinic's NPI number?

The NPI number for Lets Grow Kids Clinic is 1124841085. It was assigned to this organization in the NPPES registry on November 7, 2024.

Where is Lets Grow Kids Clinic located?

Lets Grow Kids Clinic is located at 2010 Gilmer Rd Ste 103B, Longview, TX 75604. The listed phone number is (903) 309-5689.

What is Lets Grow Kids Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lets Grow Kids Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2313582) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lets Grow Kids Clinic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Lets Grow Kids Clinic 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 Lets Grow Kids Clinic was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.