LAKEWOOD ASC, LLC
NPI 1821565706
Clinic/Center - Ambulatory Surgical in Wildwood, FL

Active since October 29, 2018CLIA 10D2169391 · Certificate of Compliance
5571 E SR 44 STE 501, WILDWOOD, FL 34785(352) 643-9080(352) 571-6786 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Oct 29, 2018 (2 updates tracked since 2018).

About Lakewood Asc, Llc NPPES

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

LAKEWOOD ASC, LLC (NPI 1821565706) is a healthcare organization registered as an ambulatory surgical in Wildwood, Florida and active in the NPI registry since October 2018. The organization holds a CLIA Certificate of Compliance certificate valid through July 13, 2028 and lists Jose A Rivera, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821565706
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAKEWOOD ASC, LLC
Location Address5571 E SR 44 STE 501Wildwood, FL 34785-8282
Mailing Address5571 E Sr 44 Ste 501Wildwood, FL 34785-8282 · (352) 643-9080 · Fax (352) 571-6786
Fax(352) 571-6786
Organization SubpartNo
Authorized OfficialJose A RiveraAdministrator · (352) 643-9080
Enumeration DateOctober 29, 2018
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1821565706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5571 E SR 44 STE 501, Wildwood, FL 34785

Accepted 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 Compliance 10D2169391

Lakewood ASC, LLC · Wildwood, FL
Active · expires Jul 13, 2028
CLIA Number10D2169391
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorVinod Miryala
Laboratory Phone(352) 643-9080
Laboratory LocationLakewood ASC, LLC5571 E Sr 44 Suite 501, Wildwood, FL 34785
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 13

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.

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
405 services402 patients
Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch C9600
This procedure involves threading a small tube through a blood vessel to your heart to open a blocked artery. A drug-eluting stent, a tiny mesh tube that releases medication, is then placed in the artery to keep it open and improve blood flow to your heart.
218 services180 patients
Insertion of pacemaker and upper and lower heart chamber electrode 33208
A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
126 services126 patients
Insertion of heart rhythm monitor under skin 33285
The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.
83 services83 patients
Removal and replacement of dual lead permanent pacemaker 33228
This procedure involves removing an old dual lead pacemaker and replacing it with a new one. A pacemaker helps regulate your heart's rhythm. The dual lead model has two wires connecting to your heart to improve its electrical signaling. The replacement is done under local anesthesia.
78 services78 patients
Removal of heart rhythm monitor from under the skin 33286
This procedure involves the careful removal of a heart rhythm monitor, a device implanted under the skin to track your heart's activity. A healthcare professional will make a small incision, extract the monitor, and then close the wound. It's a safe, routine procedure.
66 services66 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.

Clinic/Center (Multi-Specialty)
5571 E SR 44 STE 501
WILDWOOD, FL 34785

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 Lakewood ASC, LLC's NPI number?

The NPI number for Lakewood ASC, LLC is 1821565706. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Lakewood ASC, LLC located?

Lakewood ASC, LLC is located at 5571 E Sr 44 Ste 501, Wildwood, FL 34785. The listed phone number is (352) 643-9080.

What is Lakewood ASC, LLC's specialty?

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

Does Lakewood ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2169391) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakewood ASC, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lakewood ASC, 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 Lakewood ASC, LLC was last updated on October 21, 2020. 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.