LAKEVILLE FAMILY MEDICINE PC
NPI 1356545800
Clinic/Center - Primary Care in Lakeville, MA

Active since June 11, 2007CLIA 22D0907412 · Microscopy
5 PRECINCT ST, LAKEVILLE, MA 02347(508) 947-6666 Get Directions Write a Review

NPPES record last updated: October 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeville Family Medicine Pc NPPES

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

LAKEVILLE FAMILY MEDICINE PC (NPI 1356545800) is a healthcare organization registered as a primary care in Lakeville, Massachusetts and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through October 6, 2026 and lists Robert James Gagnon, President, as its authorized official.

NPPES Registry Identity

NPI1356545800
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKEVILLE FAMILY MEDICINE PC
Location Address5 PRECINCT STLakeville, MA 02347-1427
Mailing Address5 Precinct StLakeville, MA 02347-1427 · (508) 947-6666
Organization SubpartNo
Authorized OfficialRobert James GagnonPresident · (508) 947-6666
Enumeration DateJune 11, 2007
Last NPPES UpdateOctober 12, 2010
NPI 1356545800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MA · 81226
5 PRECINCT ST, Lakeville, MA 02347

Other Identifiers 1

OtherM17688MA · Mass Blue Cross

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 22D0907412

Lakeville Family Medicine PC · Lakeville, MA
Active · expires Oct 6, 2026
CLIA Number22D0907412
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorRobert J. Gagnon
Laboratory Phone(508) 947-6666
Laboratory LocationLakeville Family Medicine PC5 Precinct Street, Lakeville, MA 02347
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
5 PRECINCT ST
LAKEVILLE, MA 02347
Family Medicine
5 PRECINCT ST
LAKEVILLE, MA 02347

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 Lakeville Family Medicine PC's NPI number?

The NPI number for Lakeville Family Medicine PC is 1356545800. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Lakeville Family Medicine PC located?

Lakeville Family Medicine PC is located at 5 Precinct St, Lakeville, MA 02347. The listed phone number is (508) 947-6666.

What is Lakeville Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lakeville Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D0907412) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeville Family Medicine PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lakeville Family Medicine PC 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 Lakeville Family Medicine PC was last updated on October 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.