IMA SOUTH LAKELAND DISPENSARY
NPI 1386173573
Non-Pharmacy Dispensing Site in Lakeland, FL
About Ima South Lakeland Dispensary NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMA SOUTH LAKELAND DISPENSARY (NPI 1386173573) is a healthcare organization registered as a non-pharmacy dispensing site in Lakeland, Florida and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Patricia Pichardo, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other Names 1
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 of Waiver 10D1085953
Medical Home Alliance, LLC Dba Ima Medical Group · Lakeland, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386173573, enumerated as an "organization" on June 09, 2017.
The provider is located at 4725 US HIGHWAY 98 S STE 102 LAKELAND, FL 33812 and the phone number is (863) 646-9663.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
