HEALTHSTAT WELLNESS PASCO LOL DISPENSING
NPI 1457077471
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Land O Lakes, FL

Active since October 12, 2022CLIA 33D2210654 · Waiver
4111 LAND O LAKES BLVD STE 301, LAND O LAKES, FL 34639(704) 529-6161 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthstat Wellness Pasco Lol Dispensing NPPES

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

HEALTHSTAT WELLNESS PASCO LOL DISPENSING (NPI 1457077471) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Land O Lakes, Florida and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1457077471
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT WELLNESS PASCO LOL DISPENSING
Location Address4111 LAND O LAKES BLVD STE 301Land O Lakes, FL 34639-4403
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 6, 2022
NPI 1457077471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
4111 LAND O LAKES BLVD STE 301, Land O Lakes, FL 34639

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 33D2210654

Healthstat Wellness At Wells Enterprises Inc (dicp) · Dunkirk, NY
Active · expires Mar 26, 2027
CLIA Number33D2210654
Laboratory TypeIndustrial
Certificate Effective DateJanuary 22, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMr. Robert E. Hart
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Wellness At Wells Enterprises Inc (dicp)1 Ice Cream Dr, Dunkirk, NY 14048
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4111 LAND O LAKES BLVD STE 301
LAND O LAKES, FL 34639

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 Healthstat Wellness Pasco Lol Dispensing's NPI number?

The NPI number for Healthstat Wellness Pasco Lol Dispensing is 1457077471. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Healthstat Wellness Pasco Lol Dispensing located?

Healthstat Wellness Pasco Lol Dispensing is located at 4111 Land O Lakes Blvd Ste 301, Land O Lakes, FL 34639. The listed phone number is (704) 529-6161.

What is Healthstat Wellness Pasco Lol Dispensing's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Healthstat Wellness Pasco Lol Dispensing hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2210654) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthstat Wellness Pasco Lol Dispensing was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.