LAKE CITY SURGERY CENTER, LLC
NPI 1598965634
Clinic/Center - Ambulatory Surgical in Lake City, FL

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

The NPI number for Lake City Surgery Center, LLC is 1598965634. It was assigned to this organization in the NPPES registry on July 18, 2007.

Q: What is Lake City 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 18, 2007CLIA 10D0925298 · Waiver

208 SW PROSPERITY PLACE, LAKE CITY, FL 32024(386) 487-3930(386) 487-3935 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake City Surgery Center, Llc NPPES

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

LAKE CITY SURGERY CENTER, LLC (NPI 1598965634) is a healthcare organization registered as an ambulatory surgical in Lake City, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Collin Lemaistre, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1598965634

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKE CITY SURGERY CENTER, LLC

Location Address208 SW PROSPERITY PLACELake City, FL 32024

Mailing Address208 Sw Prosperity PlaceLake City, FL 32024 · (386) 487-3930 · Fax (386) 487-3935

Phone(386) 487-3930

Fax(386) 487-3935

Organization SubpartNo

Authorized OfficialCollin LemaistreOfficer/authorized Official · (214) 213-0732

Enumeration DateJuly 18, 2007

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1598965634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in FL · 1046

208 SW PROSPERITY PLACE, Lake City, FL 32024

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Other Identifiers 1

Other10-C0001276FL · Asc Medicare Identificati

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed.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 10D0925298

Lake City Surgery Center LLC · Lake City, FL

Active · expires May 9, 2028

CLIA Number10D0925298

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 10, 2026

Certificate Expiration DateMay 9, 2028

Laboratory DirectorRizwana S. Thanala

Laboratory Phone(386) 487-3930

Laboratory LocationLake City Surgery Center LLC208 SW Prosperity Place, Lake City, FL 32024

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 15

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.

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.

302 services298 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

202 services199 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.

131 services126 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.

59 services58 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

43 services35 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

43 services33 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

33 services26 patients

Creation of flap graft to head and/or neck 15733

A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.

27 services26 patients

Removal of scar tissue to release tendon of forearm or wrist 25295

This procedure involves removing scar tissue that's restricting the movement of tendons in your forearm or wrist. By eliminating this tissue, your tendons can move freely again, improving mobility and reducing discomfort.

20 services12 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

19 services15 patients

Creation of skin and tissue graft 15740

The creation of skin and tissue grafts involves taking healthy skin or tissue from one area of your body to replace damaged or missing skin or tissue in another area. This procedure helps heal wounds, burns, or areas affected by disease.

15 services13 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.

14 services14 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021

This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.

12 services11 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

12 services12 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

12 services12 patients

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 City Surgery Center, LLC's NPI number?

The NPI number for Lake City Surgery Center, LLC is 1598965634. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Lake City Surgery Center, LLC located?

Lake City Surgery Center, LLC is located at 208 SW Prosperity Place, Lake City, FL 32024. The listed phone number is (386) 487-3930.

What is Lake City 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 City Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0925298) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake City Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Lake City 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 City Surgery Center, LLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.