PALM MEDICAL CENTERS SOUTH LAKELAND
NPI 1174196042
Clinic/Center in Lakeland, FL
- Organization
- Clinic/Center
- CLIA Number: 10D1038484
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-20-2027
About PALM MEDICAL CENTERS SOUTH LAKELAND
This page provides the complete NPI Profile along with additional information for Palm Medical Centers South Lakeland, a provider established in Lakeland, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1174196042 assigned on July 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Palm Medical Centers South Lakeland. The authorized official of this NPI record is Santiago Moises Martin (Coo)
- NPI
- 1174196042 Verify this NPI
- Provider Legal Name
- HEALTH HOLDINGS COMPANY LLC
- Other Organization Name
- PALM MEDICAL CENTERS SOUTH LAKELAND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5985 S FLORIDA AVE LAKELAND, FL 33813
- Location Phone
- (863) 644-8459
- Location Fax
- (863) 644-8450
- Mailing Address
- 5985 S FLORIDA AVE LAKELAND, FL 33813
- Mailing Phone
- (863) 644-8459
- Mailing Fax
- (863) 644-8450
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-20-2021
- Last Update Date
- 09-22-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D1038484
- Facility Type
- Physician Office
- Certificate Effective Date
- March 21, 2025
- Certificate Expiration Date
- March 20, 2027
- Laboratory Director
- DR. ZAW MIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Palm Medical Centers South Lakeland to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LAKELAND, FL 33813
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174196042, enumerated as an "organization" on July 20, 2021.
The provider is located at 5985 S FLORIDA AVE LAKELAND, FL 33813 and the phone number is (863) 644-8459.
Clinic/Center with taxonomy code 261Q00000X.
