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GREAT LAKES URGENT CARE
NPI 1184705121
Clinic/Center - Urgent Care in Perrysburg, OH

Active since October 18, 2006CLIA 36D1090109 · Waiver
25660 DIXIE HWY, PERRYSBURG, OH 43551(419) 872-5343(419) 872-2465 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Urgent Care NPPES

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

GREAT LAKES URGENT CARE (NPI 1184705121) is a healthcare organization registered as an urgent care in Perrysburg, Ohio and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Kyle Prueter, President, as its authorized official.

NPPES Registry Identity

NPI1184705121
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameGREAT LAKES MEDICAL SERVICES LLC
Location Address25660 DIXIE HWYPerrysburg, OH 43551-2167
Mailing Address25660 Dixie HwyPerrysburg, OH 43551-2167 · (419) 872-5343 · Fax (419) 872-2465
Phone(419) 872-5343
Fax(419) 872-2465
Organization SubpartNo
Authorized OfficialKyle PrueterPresident · (419) 872-5343
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 1, 2009
✔ NPI 1184705121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in OH · 1515723
25660 DIXIE HWY, Perrysburg, OH 43551
Open in Google Maps ↗

Other Names 1

Doing Business AsGreat Lakes Urgent Care

Other Identifiers 2

Medicare UPINGR9353491OH
Medicare ID-Type UnspecifiedGR93534191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 36D1090109

Great Lakes Medical Services LLC · Perrysburg, OH
Active · expires Oct 1, 2026
CLIA Number36D1090109
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorSteven Dood
Laboratory Phone(419) 872-5343
Laboratory LocationGreat Lakes Medical Services LLC25660 Dixie Hwy Ste 2, Perrysburg, OH 43551
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 3

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

GREAT LAKES NURSING LLC
Home Health
25660 DIXIE HWY
PERRYSBURG, OH 43551
Wood County (419) 872-5343
GREAT LAKES MEDICAL SERVICES LLC
Durable Medical Equipment & Medical Supplies
25660 DIXIE HWY
PERRYSBURG, OH 43551
Wood County (419) 872-5343
MRS. SARAH BORIS APRN
Nurse Practitioner (Family)
25660 DIXIE HWY
PERRYSBURG, OH 43551
Wood County (419) 872-5343

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 Great Lakes Medical Services LLC's NPI number?

The NPI number for Great Lakes Medical Services LLC is 1184705121. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Great Lakes Urgent Care.

Where is Great Lakes Medical Services LLC located?

Great Lakes Medical Services LLC is located at 25660 Dixie Hwy, Perrysburg, OH 43551. The listed phone number is (419) 872-5343.

What is Great Lakes Medical Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Great Lakes Medical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1090109) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Lakes Medical Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Great Lakes Medical Services LLC 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 Great Lakes Medical Services LLC was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.