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FLORIDA POLY TECH
NPI 1619381803
Clinic/Center - Multi-Specialty in Lakeland, FL

Active since June 16, 2014CLIA Certified · 2 labs
4700 RESEARCH WAY, LAKELAND, FL 33805(863) 603-6504(863) 284-6824 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 20, 2020, Jun 12, 2019 (2 updates tracked since 2019).

About Florida Poly Tech NPPES

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

FLORIDA POLY TECH (NPI 1619381803) is a healthcare organization registered as a multi-specialty in Lakeland, Florida and active in the NPI registry since June 2014. The organization holds 2 active CLIA laboratory certificates and lists Lance Green, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1619381803
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLAKELAND REGIONAL HEALTH SYSTEMS, INC.
Location Address4700 RESEARCH WAYLakeland, FL 33805-8531
Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100
Phone(863) 603-6504
Fax(863) 284-6824
Organization SubpartNo
Authorized OfficialLance GreenVp/cfo · (863) 687-1100
Enumeration DateJune 16, 2014
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1619381803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4700 RESEARCH WAY, Lakeland, FL 33805
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Other Names 1

Other NameFlorida Poly Tech

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 10D2100652

Lakeland Regional Health · Lakeland, FL
Active · expires Aug 18, 2027
CLIA Number10D2100652
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health111 Lake Hollingsworth Dr, Lakeland, FL 33801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2203068

Lakeland Regional Health · Lakeland, FL
Active · expires Dec 1, 2026
CLIA Number10D2203068
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health1000 Longfellow Bvd, Lakeland, FL 33801
CLIA data matches this NPI record on: Name
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.

MRS. EMILY NOVIS FNP
Nurse Practitioner (Family)
4700 RESEARCH WAY
LAKELAND, FL 33805
Polk County (863) 687-1100
MRS. MEGAN MARIE HUDSON PA-C
Physician Assistant
4700 RESEARCH WAY
LAKELAND, FL 33805
Polk County (863) 603-6504
WINNIFRED COPELAND LMHC
Counselor (Mental Health)
4700 RESEARCH WAY
LAKELAND, FL 33805
Polk County (863) 221-2069

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 Lakeland Regional Health Systems, Inc.'s NPI number?

The NPI number for Lakeland Regional Health Systems, Inc. is 1619381803. It was assigned to this organization in the NPPES registry on June 16, 2014. The provider is also known as Florida Poly Tech.

Where is Lakeland Regional Health Systems, Inc. located?

Lakeland Regional Health Systems, Inc. is located at 4700 Research Way, Lakeland, FL 33805. The listed phone number is (863) 603-6504.

What is Lakeland Regional Health Systems, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Lakeland Regional Health Systems, Inc. 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 Lakeland Regional Health Systems, Inc. was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.