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OLYMPIC CONCIERGE MED, INC.
NPI 1154201424
Family Medicine in Lutz, FL

Active since September 05, 2025CLIA 10D2328606 · Waiver
25200 SAWYER FRANCIS LN, LUTZ, FL 33559(813) 670-8915(813) 768-0175 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olympic Concierge Med, Inc. NPPES

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

OLYMPIC CONCIERGE MED, INC. (NPI 1154201424) is a healthcare organization registered as a family medicine in Lutz, Florida and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Kelsey Burkholder, Office Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1154201424
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLYMPIC CONCIERGE MED, INC.
Location Address25200 SAWYER FRANCIS LNLutz, FL 33559-6947
Mailing Address2519 Cordoba Ranch BlvdLutz, FL 33559-3960 · (813) 670-8915 · Fax (813) 768-0175
Phone(813) 670-8915
Fax(813) 768-0175
Organization SubpartNo
Authorized OfficialKelsey BurkholderOffice Manager/owner · (352) 551-5225
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1154201424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25200 SAWYER FRANCIS LN, Lutz, FL 33559
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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

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 10D2328606

Olympic Concierge Medicine · Lutz, FL
Active · expires Aug 12, 2027
CLIA Number10D2328606
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorJustin D. Burkholder
Laboratory Phone(813) 670-8915
Laboratory LocationOlympic Concierge Medicine25200 Sawyer Francis Ln, Lutz, FL 33559
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FIRST AID HOME CARE LLC
Home Health
25200 SAWYER FRANCIS LN
LUTZ, FL 33559
Hillsborough County (678) 467-5182

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 Olympic Concierge Med, Inc.'s NPI number?

The NPI number for Olympic Concierge Med, Inc. is 1154201424. It was assigned to this organization in the NPPES registry on September 5, 2025.

Where is Olympic Concierge Med, Inc. located?

Olympic Concierge Med, Inc. is located at 25200 Sawyer Francis Ln, Lutz, FL 33559. The listed phone number is (813) 670-8915.

What is Olympic Concierge Med, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Olympic Concierge Med, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328606) is associated with this NPI, valid through August 12, 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 Olympic Concierge Med, Inc. was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.