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CHEN NEIGHBORHOOD MEDICAL OF SOUTH LAKELAND, LLC
NPI 1801258447
Specialist in Lakeland, FL

Active since March 23, 2016CLIA 10D2114982 · Waiver
4715 S FLORIDA AVE, LAKELAND, FL 33813(305) 628-6117 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chen Neighborhood Medical Of South Lakeland, Llc NPPES

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

CHEN NEIGHBORHOOD MEDICAL OF SOUTH LAKELAND, LLC (NPI 1801258447) is a healthcare organization registered as a specialist in Lakeland, Florida and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Dina Valladares, Manager Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1801258447
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHEN NEIGHBORHOOD MEDICAL OF SOUTH LAKELAND, LLC
Location Address4715 S FLORIDA AVELakeland, FL 33813-2101
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5742
Phone(305) 628-6117
Organization SubpartNo
Authorized OfficialDina ValladaresManager Of Credentialing · (305) 831-4760
Enumeration DateMarch 23, 2016
Last NPPES UpdateJune 1, 2016
✔ NPI 1801258447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
4715 S FLORIDA AVE, Lakeland, FL 33813
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 10D2114982

Chen Neighborhood Medical Of South Lakeland Dba Dedicated Senior Healthcare · Lakeland, FL
Active · expires Jun 23, 2028
CLIA Number10D2114982
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorChristopher J. Chen
Laboratory Phone(305) 831-4770
Laboratory LocationChen Neighborhood Medical Of South Lakeland Dba Dedicated Senior Healthcare4715 S Florida Ave, Lakeland, FL 33813
CLIA data matches this NPI record on: Address 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.

LESTER YANIER RAMOS MERAYOS APRN, FNP-C.
Nurse Practitioner (Family)
4715 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 209-7004
MR. SCOTT JEFFREY KAUTZ JR. ARNP-BC
Nurse Practitioner (Adult Health)
4715 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (632) 846-8008
MATTHEW JAMES BRUHA MD
Urology
4715 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 209-7004

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 Chen Neighborhood Medical Of South Lakeland, LLC's NPI number?

The NPI number for Chen Neighborhood Medical Of South Lakeland, LLC is 1801258447. It was assigned to this organization in the NPPES registry on March 23, 2016.

Where is Chen Neighborhood Medical Of South Lakeland, LLC located?

Chen Neighborhood Medical Of South Lakeland, LLC is located at 4715 S Florida Ave, Lakeland, FL 33813. The listed phone number is (305) 628-6117.

What is Chen Neighborhood Medical Of South Lakeland, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Chen Neighborhood Medical Of South Lakeland, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2114982) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chen Neighborhood Medical Of South Lakeland, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Chen Neighborhood Medical Of South Lakeland, 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 Chen Neighborhood Medical Of South Lakeland, LLC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.