SOUTH LAKE CLINIC, P.A.
NPI 1427027184
Pediatrics in Minnetonka, MN
About South Lake Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH LAKE CLINIC, P.A. (NPI 1427027184), doing business as South Lake Pediatrics, is a healthcare organization registered as a pediatrics in Minnetonka, Minnesota and active in the NPI registry since March 2006. The organization holds 3 active CLIA laboratory certificates and lists Michael Garvis, Owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 3
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 Accreditation 24D0400519
South Lake Pediatrics - Minnetonka · Minnetonka, MNCertificate of Accreditation 24D2018597
South Lake Pediatrics-Chaska · Chaska, MNCertificate of Accreditation 24D0978925
South Lake Pediatrics Maple Grove · Maple Grove, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 South Lake Clinic, P.A.'s NPI number?
The NPI number for South Lake Clinic, P.A. is 1427027184. It was assigned to this organization in the NPPES registry on March 15, 2006. The provider is doing business as South Lake Pediatrics.
Where is South Lake Clinic, P.A. located?
South Lake Clinic, P.A. is located at 17705 Hutchins Dr Suite 101, Minnetonka, MN 55345. The listed phone number is (952) 401-8300.
What is South Lake Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does South Lake Clinic, P.A. hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does South Lake Clinic, P.A. accept?
Health plans from HealthPartners and Medica list South Lake Clinic, P.A. 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 South Lake Clinic, P.A. was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# South Lake Clinic, P.a. · NPI 1427027184
Pediatrics organization in Minnetonka, Minnesota. Organization record, active in the CMS NPPES registry since March 15, 2006.
## Identity
- **NPI:** 1427027184 (Entity type: Organization)
- **Enumerated:** March 15, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Also known as:** South Lake Pediatrics (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Garvis, OWNER/MEDICAL DIRECTOR
## Practice location
- **Address:** 17705 HUTCHINS DR, SUITE 101, Minnetonka, MN 55345-4145
- **Phone:** (952) 401-8300 · **Fax:** (952) 401-8243
## Record status
- **NPPES last updated:** September 28, 2026
- **Other identifiers:** Medicaid 091010400 (MN); Other 16623SO (MN)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427027184) · Data from the CMS NPPES public registry.