LAKE ENDOSCOPY CENTER, LLC
NPI 1750823886
Clinic/Center - Ambulatory Surgical in Summerfield, FL

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

The NPI number for Lake Endoscopy Center, LLC is 1750823886. It was assigned to this organization in the NPPES registry on November 7, 2016.

Q: What is Lake Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 07, 2016CLIA 10D1074553 · Waiver

17355 SE 109TH TERRACE RD, SUMMERFIELD, FL 34491(352) 245-0846 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Oct 11, 2024, Apr 22, 2024 and 4 more (7 updates tracked since 2016).

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About Lake Endoscopy Center, Llc NPPES

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

LAKE ENDOSCOPY CENTER, LLC (NPI 1750823886) is a healthcare organization registered as an ambulatory surgical in Summerfield, Florida and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Collin Lemaistre, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1750823886

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKE ENDOSCOPY CENTER, LLC

Location Address17355 SE 109TH TERRACE RDSummerfield, FL 34491-8930

Mailing Address17355 Se 109th Terrace RdSummerfield, FL 34491 · (352) 245-0846 · Fax (352) 245-7768

Phone(352) 245-0846

Organization SubpartNo

Authorized OfficialCollin LemaistreOfficer/authorized Official · (404) 781-2921

Enumeration DateNovember 7, 2016

Last NPPES UpdateDecember 19, 20257 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1750823886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

17355 SE 109TH TERRACE RD, Summerfield, FL 34491

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 10D1074553

Lake Endoscopy Center LLC · Summerfield, FL

Active · expires Sep 30, 2027

CLIA Number10D1074553

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorAshwin Rumalla

Laboratory Phone(352) 245-0846

Laboratory LocationLake Endoscopy Center LLC17355 SE 109th Terrace Road, Summerfield, FL 34491

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.

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.

791 services786 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.

670 services635 patients

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.

586 services582 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

299 services297 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

229 services219 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

130 services65 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

83 services83 patients

Biopsy of lower large bowel using a flexible endoscope 45331

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

77 services75 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.

77 services77 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.

76 services76 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

39 services36 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

28 services28 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.

19 services18 patients

Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43270

This procedure involves using a flexible tool called an endoscope to identify and remove abnormal growths or polyps in the esophagus, stomach, or upper small bowel. It's a safe way to prevent these growths from causing health issues.

13 services13 patients

Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare 45338

This procedure involves removing abnormal growths called polyps from the lower part of the large bowel. A flexible tube with a camera, known as an endoscope, is used to view the inside of the bowel. A special tool called a mechanical snare is used to cut and remove the polyps.

13 services13 patients

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Other Providers at the Same Location NPPES

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

GREATER OCALA ANESTHESIA ASSOCIATES LLC

Nurse Anesthetist, Certified Registered

17355 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491

Marion County (352) 261-0499

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 Endoscopy Center, LLC's NPI number?

The NPI number for Lake Endoscopy Center, LLC is 1750823886. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Lake Endoscopy Center, LLC located?

Lake Endoscopy Center, LLC is located at 17355 SE 109th Terrace Rd, Summerfield, FL 34491. The listed phone number is (352) 245-0846.

What is Lake Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lake Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1074553) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Endoscopy Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Lake Endoscopy 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 Endoscopy Center, LLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.