INTEGRATED MEDICAL GROUP, PC
NPI 1184076663
Nurse Practitioner - Family in Fleetwood, PA

Active since July 07, 2016CLIA 39D0205093 · Waiver
805 N RICHMOND ST, FLEETWOOD, PA 19522(610) 944-0464 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Medical Group, Pc NPPES

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

INTEGRATED MEDICAL GROUP, PC (NPI 1184076663) is a healthcare organization registered as a family in Fleetwood, Pennsylvania and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barbara J Mcculley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184076663
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED MEDICAL GROUP, PC
Location Address805 N RICHMOND STFleetwood, PA 19522-1058
Mailing Address4 Ravens CtReading, PA 19606-3551
Organization SubpartNo
Authorized OfficialBarbara J McculleyOffice Manager · (610) 944-0464
Enumeration DateJuly 7, 2016
NPI 1184076663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP016169
805 N RICHMOND ST, Fleetwood, PA 19522

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 39D0205093

Integrated Medical Group PC · Reading, PA
Active · expires Aug 31, 2026
CLIA Number39D0205093
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLeif E. Christiansen Do
Laboratory Phone(610) 370-2511
Laboratory LocationIntegrated Medical Group PC2234 Perkiomen Ave, Reading, PA 19606
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 15

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

Family Medicine
805 N RICHMOND ST
FLEETWOOD, PA 19522
Family Medicine
805 N RICHMOND ST
FLEETWOOD, PA 19522
Nurse Practitioner (Family)
805 N RICHMOND ST
FLEETWOOD, PA 19522
Nurse Practitioner (Family)
805 N RICHMOND ST
FLEETWOOD, PA 19522
Dentist
805 N RICHMOND ST, SUITE 102
FLEETWOOD, PA 19522
Family Medicine
805 N RICHMOND ST
FLEETWOOD, PA 19522
Specialist/Technologist (Athletic Trainer)
805 N RICHMOND ST
FLEETWOOD, PA 19522
Family Medicine
805 N RICHMOND ST
FLEETWOOD, PA 19522

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 Integrated Medical Group, PC's NPI number?

The NPI number for Integrated Medical Group, PC is 1184076663. It was assigned to this organization in the NPPES registry on July 7, 2016.

Where is Integrated Medical Group, PC located?

Integrated Medical Group, PC is located at 805 N Richmond St, Fleetwood, PA 19522. The listed phone number is (610) 944-0464.

What is Integrated Medical Group, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Integrated Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0205093) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Medical Group, PC was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.