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LAKE URGENT CARE - GONZALES
NPI 1477899656
Clinic/Center - Urgent Care in Gonzales, LA

Active since December 17, 2012CLIA 19D2054102 · Waiver
1702 N BURNSIDE AVE, GONZALES, LA 70737(225) 647-4988 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Urgent Care - Gonzales NPPES

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

LAKE URGENT CARE - GONZALES (NPI 1477899656) is a healthcare organization registered as an urgent care in Gonzales, Louisiana and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Steve Sellars, President, as its authorized official.

NPPES Registry Identity

NPI1477899656
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKE URGENT CARE ASCENSION LLC
Location Address1702 N BURNSIDE AVEGonzales, LA 70737-2141
Mailing AddressPo Box 679641Dallas, TX 75267-9641
Phone(225) 647-4988
Organization SubpartNo
Authorized OfficialSteve SellarsPresident · (225) 214-9353
Enumeration DateDecember 17, 2012
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1477899656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1702 N BURNSIDE AVE, Gonzales, LA 70737
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Urgent Care - Gonzales

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 19D2054102

Lake Urgent Care - Gonzales · Gonzales, LA
Active · expires Feb 12, 2027
CLIA Number19D2054102
Laboratory TypeUrgent Care Walk-In
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorKevin Dibenedetto
Laboratory Phone(225) 647-4988
Laboratory LocationLake Urgent Care - Gonzales1776 N Airline Hwy, Suite A, Gonzales, LA 70737
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SHARON DAWN LOBELL
Nurse Practitioner (Family)
1702 N BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 644-8511
SUNNY GHERE GREEN NP
Nurse Practitioner (Family)
1702 N BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 647-8319
OLOL-ASCENSION
Family Medicine
1702 N BURNSIDE AVE, SUITE B
GONZALES, LA 70737
Ascension Parish (225) 647-8511
PAUL CARY AGUILLARD M.D.
Pediatrics
1702 N BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 647-8319
MARLAYNA P WARD
Behavior Technician
1702 N BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 257-9574

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 Urgent Care Ascension LLC's NPI number?

The NPI number for Lake Urgent Care Ascension LLC is 1477899656. It was assigned to this organization in the NPPES registry on December 17, 2012. The provider is doing business as Lake Urgent Care - Gonzales.

Where is Lake Urgent Care Ascension LLC located?

Lake Urgent Care Ascension LLC is located at 1702 N Burnside Ave, Gonzales, LA 70737. The listed phone number is (225) 647-4988.

What is Lake Urgent Care Ascension LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Lake Urgent Care Ascension LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2054102) is associated with this NPI, valid through February 12, 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 Lake Urgent Care Ascension LLC was last updated on January 24, 2023. 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.