LYMPHATIC AESTHETICS L. A. WELLNESS CENTER, LLC
NPI 1346992047
Clinic/Center - Health Service in Ocoee, FL

Active since January 24, 2022CLIA 10D2273886 · Waiver
3376 MCCORMICK WOODS DR., OCOEE, FL 34761(305) 791-4262(305) 402-6471 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2022, Jan 24, 2022 (2 updates tracked since 2022).

About Lymphatic Aesthetics L. A. Wellness Center, Llc NPPES

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

LYMPHATIC AESTHETICS L. A. WELLNESS CENTER, LLC (NPI 1346992047) is a healthcare organization registered as a health service in Ocoee, Florida and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Leandrea Tonika Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1346992047
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameLYMPHATIC AESTHETICS L. A. WELLNESS CENTER, LLC
Location Address3376 MCCORMICK WOODS DR.Ocoee, FL 34761-4443
Mailing Address3376 Mccormick Woods Dr.Ocoee, FL 34761-4443 · (305) 791-4262 · Fax (305) 402-6471
Fax(305) 402-6471
Organization SubpartNo
Authorized OfficialLeandrea Tonika LongOwner · (386) 316-4713
Enumeration DateJanuary 24, 2022
Last NPPES UpdateFebruary 12, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2022
✔ NPI 1346992047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3376 MCCORMICK WOODS DR., Ocoee, FL 34761

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lymphatic Aesthetics L. A. Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lymphatic Aesthetics L. A. Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1881149656
601 E ROLLINS ST
Orlando, FL 32803
(407) 303-5600
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2273886

Lymphatic Aesthetics La Wellness Center LLC · Ocoee, FL
Active · expires Dec 19, 2026
CLIA Number10D2273886
Laboratory TypeMobile Laboratory
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorLeandrea Long
Laboratory Phone(305) 791-4262
Laboratory LocationLymphatic Aesthetics La Wellness Center LLC3376 Mccormick Wood Dr, Ocoee, FL 34761
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 Lymphatic Aesthetics L. A. Wellness Center, LLC's NPI number?

The NPI number for Lymphatic Aesthetics L. A. Wellness Center, LLC is 1346992047. It was assigned to this organization in the NPPES registry on January 24, 2022.

Where is Lymphatic Aesthetics L. A. Wellness Center, LLC located?

Lymphatic Aesthetics L. A. Wellness Center, LLC is located at 3376 Mccormick Woods Dr., Ocoee, FL 34761. The listed phone number is (305) 791-4262.

What is Lymphatic Aesthetics L. A. Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Lymphatic Aesthetics L. A. Wellness Center, LLC enrolled in Medicare?

Yes. Lymphatic Aesthetics L. A. Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lymphatic Aesthetics L. A. Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lymphatic Aesthetics L. A. Wellness Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lymphatic Aesthetics L. A. Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2273886) is associated with this NPI, valid through December 19, 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 Lymphatic Aesthetics L. A. Wellness Center, LLC was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.