LAKE GEORGE SURGERY CENTER, LLC
NPI 1457960536
Clinic/Center - Ambulatory Surgical in Fremont, IN

Q: What is Lake George Surgery Center, LLC's NPI number?

The NPI number for Lake George Surgery Center, LLC is 1457960536. It was assigned to this organization in the NPPES registry on July 24, 2020.

Q: What is Lake George Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 24, 2020CLIA 15D2196604 · Waiver

6245 N OLD 27 STE A10, FREMONT, IN 46737(517) 462-8283 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2020, Jul 24, 2020 (2 updates tracked since 2020).

On this page

About Lake George Surgery Center, Llc NPPES

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

LAKE GEORGE SURGERY CENTER, LLC (NPI 1457960536) is a healthcare organization registered as an ambulatory surgical in Fremont, Indiana and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Kathy Meccia, Rn Administrator, as its authorized official.

NPPES Registry Identity

NPI1457960536

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKE GEORGE SURGERY CENTER, LLC

Location Address6245 N OLD 27 STE A10Fremont, IN 46737-8707

Mailing Address302 N Fiske RdColdwater, MI 49036-9138 · (517) 462-8283

Phone(517) 462-8283

Organization SubpartNo

Authorized OfficialKathy MecciaRn Administrator · (517) 462-8283

Enumeration DateJuly 24, 2020

Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1457960536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

6245 N OLD 27 STE A10, Fremont, IN 46737

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 15D2196604

Lake George Surgery Center · Fremont, IN

Active · expires Oct 18, 2026

CLIA Number15D2196604

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 19, 2024

Certificate Expiration DateOctober 18, 2026

Laboratory DirectorKathy J. Meccia

Laboratory Phone(517) 462-8283

Laboratory LocationLake George Surgery Center6245 N Old 27 Suite A10, Fremont, IN 46737

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

130 services85 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

34 services34 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

31 services26 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

27 services27 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

24 services24 patients

Other Providers at the Same Location NPPES

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

REST ASSURED ANESTHESIA MANAGEMENT

Nurse Anesthetist, Certified Registered

6245 N OLD 27 STE A10
FREMONT, IN 46737

Steuben County (260) 577-5910

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 Lake George Surgery Center, LLC's NPI number?

The NPI number for Lake George Surgery Center, LLC is 1457960536. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Lake George Surgery Center, LLC located?

Lake George Surgery Center, LLC is located at 6245 N Old 27 Ste A10, Fremont, IN 46737. The listed phone number is (517) 462-8283.

What is Lake George Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lake George Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2196604) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake George Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Lake George Surgery Center, LLC 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 Lake George Surgery Center, LLC was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.