LUCK MEDICAL CLINIC
NPI 1649435876
Clinic/Center - Rural Health in Luck, WI

Q: What is Luck Medical Clinic's NPI number?

The NPI number for Luck Medical Clinic is 1649435876. It was assigned to this organization in the NPPES registry on July 28, 2008.

Q: What is Luck Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 28, 2008CLIA 52D0674907 · Accreditation

137 1ST AVE, LUCK, WI 54853(715) 472-2177(715) 472-8787 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Luck Medical Clinic NPPES

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

LUCK MEDICAL CLINIC (NPI 1649435876) is a healthcare organization registered as a rural health in Luck, Wisconsin and active in the NPI registry since July 2008. The organization holds an CLIA Accreditation certificate valid through February 11, 2027 and lists Scott Edin, Cfo Administrator Finance, as its authorized official.

NPPES Registry Identity

NPI1649435876

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameLUCK MEDICAL CLINIC

Location Address137 1ST AVELuck, WI 54853

Mailing AddressPo Box 356Luck, WI 54853-0356 · (715) 472-2177 · Fax (715) 472-8787

Phone(715) 472-2177

Fax(715) 472-8787

Organization SubpartYesParent: Amery Regional Medical Center

Authorized OfficialScott EdinCfo Administrator Finance · (715) 268-0301

Enumeration DateJuly 28, 2008

✔ NPI 1649435876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in WI · 43060600

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

137 1ST AVE, Luck, WI 54853

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Other Identifiers 1

Medicaid32832000WI

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 Accreditation 52D0674907

Luck Medical Clinic · Luck, WI

Active · expires Feb 11, 2027

CLIA Number52D0674907

Laboratory TypeRural Health Clinic

Certificate Effective DateFebruary 12, 2025

Certificate Expiration DateFebruary 11, 2027

Laboratory DirectorDr. Maryna Tarbunova

Laboratory Phone(715) 472-2177

Laboratory LocationLuck Medical Clinic2547 State Hwy 35, Luck, WI 54853

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Luck Medical Clinic's NPI number?

The NPI number for Luck Medical Clinic is 1649435876. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Luck Medical Clinic located?

Luck Medical Clinic is located at 137 1st Ave, Luck, WI 54853. The listed phone number is (715) 472-2177.

What is Luck Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Luck Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0674907) is associated with this NPI, valid through February 11, 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 Luck Medical Clinic was last updated on July 28, 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.