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LAKELAND ALLERGY ASTHMA & IMMUNOLOGY
NPI 1861950008
Allergy & Immunology in Lakeland, FL

Active since March 06, 2019CLIA 10D2165633 · Waiver
4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813(305) 318-6096 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2019, Mar 6, 2019 (2 updates tracked since 2019).

About Lakeland Allergy Asthma & Immunology NPPES

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

LAKELAND ALLERGY ASTHMA & IMMUNOLOGY (NPI 1861950008) is a healthcare organization registered as an allergy & immunology in Lakeland, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Kathryn D Convers, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1861950008
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameLAKELAND ALLERGY ASTHMA & IMMUNOLOGY
Location Address4325 HIGHLAND PARK BLVDLakeland, FL 33813-1671
Mailing Address4325 Highland Park BlvdLakeland, FL 33813-1671 · (863) 213-1010
Phone(305) 318-6096
Organization SubpartNo
Authorized OfficialKathryn D ConversSole Member · (305) 318-6096
Enumeration DateMarch 6, 2019
Last NPPES UpdateApril 4, 20192 updates tracked since enumeration
✔ NPI 1861950008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
4325 HIGHLAND PARK BLVD, Lakeland, FL 33813
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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

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 10D2165633

Lakeland Allergy, Asthma & Immunology LLC · Lakeland, FL
Active · expires May 1, 2027
CLIA Number10D2165633
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorKathryn D. Convers
Laboratory Phone(863) 213-1010
Laboratory LocationLakeland Allergy, Asthma & Immunology LLC4325 Highland Park Blvd, Lakeland, FL 33813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. KATHRYN DIANA CONVERS M.D.
Allergy & Immunology
4325 HIGHLAND PARK BLVD
LAKELAND, FL 33813
Polk County (863) 213-1010
KELLY SUTTON L.M.T.
Specialist
4325 HIGHLAND PARK BLVD
LAKELAND, FL 33813
Polk County (863) 669-7363
CHARLES VICKERS DC PA
Chiropractor
4325 HIGHLAND PARK BLVD
LAKELAND, FL 33813
Polk County (863) 644-5541
DR. CHARLES ROBERT VICKERS JR. DC
Chiropractor
4325 HIGHLAND PARK BLVD
LAKELAND, FL 33813
Polk County (863) 644-5541

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 Lakeland Allergy Asthma & Immunology's NPI number?

The NPI number for Lakeland Allergy Asthma & Immunology is 1861950008. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Lakeland Allergy Asthma & Immunology located?

Lakeland Allergy Asthma & Immunology is located at 4325 Highland Park Blvd, Lakeland, FL 33813. The listed phone number is (305) 318-6096.

What is Lakeland Allergy Asthma & Immunology's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Does Lakeland Allergy Asthma & Immunology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2165633) is associated with this NPI, valid through May 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeland Allergy Asthma & Immunology accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare list Lakeland Allergy Asthma & Immunology 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 Lakeland Allergy Asthma & Immunology was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.