1. Home
  2. Directory
  3. Texas
  4. Cleveland
  5. Pediatrics
  6. NPI Profile

LIVINGSTON PEDIATRIC CLINIC PA
NPI 1609055904
Pediatrics - Adolescent Medicine in Cleveland, TX

Active since November 02, 2007CLIA Certified · 2 labs
206 S COLLEGE AVE, CLEVELAND, TX 77327(281) 592-6000(936) 328-8815 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Livingston Pediatric Clinic Pa NPPES

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

LIVINGSTON PEDIATRIC CLINIC PA (NPI 1609055904) is a healthcare organization registered as an adolescent medicine in Cleveland, Texas and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates and lists Julie Lairmore, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1609055904
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameLIVINGSTON PEDIATRIC CLINIC PA
Location Address206 S COLLEGE AVECleveland, TX 77327-4504
Mailing Address400 Ogletree DrLivingston, TX 77351-6783 · (936) 328-8812 · Fax (936) 328-8815
Phone(281) 592-6000
Fax(936) 328-8815
Organization SubpartNo
Authorized OfficialJulie LairmorePractice Administrator · (936) 328-8812
Enumeration DateNovember 2, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1609055904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
206 S COLLEGE AVE, Cleveland, TX 77327
Open in Google Maps ↗

Other Identifiers 1

Other0045LZTX · Bcbs

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 2

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 45D0946631

Livingston Pediatrics PA · Livingston, TX
Active · expires Nov 28, 2026
CLIA Number45D0946631
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorMarlo Brawner
Laboratory Phone(936) 328-8812
Laboratory LocationLivingston Pediatrics PA400 Ogletree Drive, Livingston, TX 77352
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0949975

Livingston Pediatrics PA Dba Cleveland Pediatric Clinic · Cleveland, TX
Active · expires Feb 24, 2028
CLIA Number45D0949975
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorMarlo Brawner
Laboratory Phone(281) 592-6000
Laboratory LocationLivingston Pediatrics PA Dba Cleveland Pediatric Clinic203 North College, Suite 1001, Cleveland, TX 77327
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 3

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

MR. HOWARD GO YAP LPT
Physical Therapist
206 S COLLEGE AVE
CLEVELAND, TX 77327
Liberty County (832) 480-5212
CLEVELAND PEDIATRIC CLINIC
Specialist
206 S COLLEGE AVE
CLEVELAND, TX 77327
Liberty County (281) 592-6000
YAPMED INCORPORATED
Physical Therapist
206 S COLLEGE AVE
CLEVELAND, TX 77327
Liberty County (936) 703-7006

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 Livingston Pediatric Clinic PA's NPI number?

The NPI number for Livingston Pediatric Clinic PA is 1609055904. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Livingston Pediatric Clinic PA located?

Livingston Pediatric Clinic PA is located at 206 S College Ave, Cleveland, TX 77327. The listed phone number is (281) 592-6000.

What is Livingston Pediatric Clinic PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Livingston Pediatric Clinic PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Livingston Pediatric Clinic PA was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.