LITTLE CREEK OUTPATIENT SERVICES LLC
NPI 1548716145
Clinic/Center in Lake Ariel, PA

Active since September 01, 2016CLIA 39D2125595 · Waiver
473 EASTON TPKE STE 5, LAKE ARIEL, PA 18436(570) 689-6068(570) 689-2744 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little Creek Outpatient Services Llc NPPES

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

LITTLE CREEK OUTPATIENT SERVICES LLC (NPI 1548716145) is a healthcare organization registered as a clinic/center in Lake Ariel, Pennsylvania and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Kathryn Mckendry, Clinical/executive Director, as its authorized official.

NPPES Registry Identity

NPI1548716145
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLITTLE CREEK OUTPATIENT SERVICES LLC
Location Address473 EASTON TPKE STE 5Lake Ariel, PA 18436-4716
Mailing AddressPo Box 942Hamlin, PA 18427-0942 · (570) 689-6068 · Fax (570) 689-2744
Fax(570) 689-2744
Organization SubpartNo
Authorized OfficialKathryn MckendryClinical/executive Director · (570) 689-2043
Enumeration DateSeptember 1, 2016
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1548716145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in PA · 647021
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
473 EASTON TPKE STE 5, Lake Ariel, PA 18436

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 39D2125595

Little Creek Outpatient · Lake Ariel, PA
Active · expires Feb 9, 2027
CLIA Number39D2125595
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorDr. Kurt W. Braun
Laboratory Phone(570) 689-6068
Laboratory LocationLittle Creek Outpatient473 Easton Tpke, Suite 5, Lake Ariel, PA 18436
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Little Creek Outpatient Services LLC's NPI number?

The NPI number for Little Creek Outpatient Services LLC is 1548716145. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Little Creek Outpatient Services LLC located?

Little Creek Outpatient Services LLC is located at 473 Easton Tpke Ste 5, Lake Ariel, PA 18436. The listed phone number is (570) 689-6068.

What is Little Creek Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Little Creek Outpatient Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2125595) is associated with this NPI, valid through February 9, 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 Little Creek Outpatient Services LLC was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.