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LAKESIDE MEDICAL RESPONSE
NPI 1811085657
Ambulance - Land Transport in Florence, SC

Active since October 10, 2006CLIA 42D2123449 · Waiver
1801D W EVANS ST STE 110, FLORENCE, SC 29501(843) 629-7133(843) 629-7233 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2021, Aug 26, 2020, Feb 18, 2020 (3 updates tracked since 2020).

About Lakeside Medical Response NPPES

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

LAKESIDE MEDICAL RESPONSE (NPI 1811085657) is a healthcare organization registered as a land transport in Florence, South Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Shameeka Mcduffie, Owner, as its authorized official.

NPPES Registry Identity

NPI1811085657
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLAKESIDE MEDICAL RESPONSE
Location Address1801D W EVANS ST STE 110Florence, SC 29501-3333
Mailing Address1801d W Evans St Ste 110Florence, SC 29501-3333 · (843) 629-7133 · Fax (843) 629-7233
Phone(843) 629-7133
Fax(843) 629-7233
Organization SubpartNo
Authorized OfficialShameeka McduffieOwner · (843) 629-7133
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 20, 20213 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1811085657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in SC · 234
1801D W EVANS ST STE 110, Florence, SC 29501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 42D2123449

Lakeside Medical Response · Florence, SC
Active · expires Dec 20, 2026
CLIA Number42D2123449
Laboratory TypeAmbulance
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorShameeka S. Mcduffie
Laboratory Phone(843) 629-7133
Laboratory LocationLakeside Medical Response1801-D West Evans Street Suite 110, Florence, SC 29501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
7,225 services16 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
647 services16 patients

Other Providers at the Same Location NPPES

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

LAKESIDE MEDICAL RESPONSE TRI COUNTY, LLC
Ambulance (Land Transport)
1801D W EVANS ST STE 110
FLORENCE, SC 29501
Florence County (843) 571-0702

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 Lakeside Medical Response's NPI number?

The NPI number for Lakeside Medical Response is 1811085657. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Lakeside Medical Response located?

Lakeside Medical Response is located at 1801D W Evans St Ste 110, Florence, SC 29501. The listed phone number is (843) 629-7133.

What is Lakeside Medical Response's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Lakeside Medical Response hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2123449) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Medical Response accept?

Health plans from BlueCross BlueShield of South Carolina list Lakeside Medical Response 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 Lakeside Medical Response was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.