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LANBAKE, LLC
NPI 1710404637
Nurse Practitioner - Family in Port Arthur, TX

Active since August 23, 2017CLIA 45D2138981 · Waiver
8480 CENTRAL MALL DR, PORT ARTHUR, TX 77642(409) 853-1288(866) 275-8082 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2018, Feb 28, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Lanbake, Llc NPPES

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

LANBAKE, LLC (NPI 1710404637) is a healthcare organization registered as a family in Port Arthur, Texas and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Keli An Lanclos, Owner, as its authorized official.

NPPES Registry Identity

NPI1710404637
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLANBAKE, LLC
Location Address8480 CENTRAL MALL DRPort Arthur, TX 77642
Mailing Address8480 Central Mall DrivePort Arthur, TX 77642 · (409) 729-2071 · Fax (877) 747-0142
Phone(409) 853-1288
Fax(866) 275-8082
Organization SubpartNo
Authorized OfficialKeli An LanclosOwner · (409) 853-1288
Enumeration DateAugust 23, 2017
Last NPPES UpdateJune 20, 20183 updates tracked since enumeration
✔ NPI 1710404637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
8480 CENTRAL MALL DR, Port Arthur, TX 77642
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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

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 45D2138981

Lanbake, LLC · Port Arthur, TX
Active · expires Oct 26, 2027
CLIA Number45D2138981
Laboratory TypePractitioner Other
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorGayla H. Baker
Laboratory Phone(409) 853-1288
Laboratory LocationLanbake, LLC8480 Central Mall Drive, Port Arthur, TX 77642
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 Lanbake, LLC's NPI number?

The NPI number for Lanbake, LLC is 1710404637. It was assigned to this organization in the NPPES registry on August 23, 2017.

Where is Lanbake, LLC located?

Lanbake, LLC is located at 8480 Central Mall Dr, Port Arthur, TX 77642. The listed phone number is (409) 853-1288.

What is Lanbake, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Lanbake, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2138981) is associated with this NPI, valid through October 26, 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 Lanbake, LLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.