LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C - NPI 1801135173

Q: What is Lake Cardiovascular Diagnostic Center L.L.C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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About Lake Cardiovascular Diagnostic Center L.l.c NPPES

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

LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C (NPI 1801135173) is a healthcare organization registered as a cardiovascular disease in Lady Lake, Florida and active in the NPI registry since February 2013. The organization lists Shrikanth Upadya, Director, as its authorized official.

NPPES Registry Identity

NPI1801135173

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameLAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C

Location Address510 HIGHWAY 466, SUITE 105Lady Lake, FL 32159-6341

Mailing Address1050 Old Camp Rd, Ste 270The Villages, FL 32162-1762 · (352) 633-1966

Phone(352) 633-1966

Organization SubpartYesParent: Cardiac And Vascular Consultants P.a

Authorized OfficialShrikanth UpadyaDirector · (352) 633-1966

Enumeration DateFebruary 6, 2013

Last NPPES UpdateFebruary 13, 2013

✔ NPI 1801135173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

510 HIGHWAY 466, Lady Lake, FL 32159

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2057427

Lake Cardiovascular Diagnostic Center · Lady Lake, FL

Expired · May 3, 2026

CLIA Number10D2057427

Laboratory TypePhysician Office

Certificate Effective DateMay 4, 2024

Certificate Expiration DateMay 3, 2026

Laboratory DirectorShrikanth Upadya

Laboratory Phone(352) 633-7502

Laboratory LocationLake Cardiovascular Diagnostic Center510 Cr 466 Ste 105, Lady Lake, FL 32159

CLIA data matches this NPI record on: Name

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 Lake Cardiovascular Diagnostic Center L.L.C's NPI number?

The NPI number for Lake Cardiovascular Diagnostic Center L.L.C is 1801135173. It was assigned to this organization in the NPPES registry on February 6, 2013.

Where is Lake Cardiovascular Diagnostic Center L.L.C located?

Lake Cardiovascular Diagnostic Center L.L.C is located at 510 Highway 466 Suite 105, Lady Lake, FL 32159. The listed phone number is (352) 633-1966.

What is Lake Cardiovascular Diagnostic Center L.L.C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Lake Cardiovascular Diagnostic Center L.L.C was last updated on February 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.