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LAKE REGION URGENT CARE, PC
NPI 1881916989
Emergency Medicine in Hawley, PA

Active since February 17, 2010CLIA 39D1037109 · Waiver
103 SPRUCE ST, SUITE 201, HAWLEY, PA 18428(570) 390-4545(570) 390-4546 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Region Urgent Care, Pc NPPES

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

LAKE REGION URGENT CARE, PC (NPI 1881916989) is a healthcare organization registered as an emergency medicine in Hawley, Pennsylvania and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Roman W Matlaga, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881916989
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameLAKE REGION URGENT CARE, PC
Location Address103 SPRUCE ST, SUITE 201Hawley, PA 18428-1149
Mailing AddressPo Box 1733Kingston, PA 18704-0733 · (570) 390-4545 · Fax (570) 390-4546
Phone(570) 390-4545
Fax(570) 390-4546
Organization SubpartNo
Authorized OfficialRoman W MatlagaMedical Director · (570) 390-4545
Enumeration DateFebruary 17, 2010
Last NPPES UpdateJuly 13, 2011
✔ NPI 1881916989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X
103 SPRUCE ST, Hawley, PA 18428
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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 39D1037109

Lake Region Urgent Care · Honesdale, PA
Active · expires Feb 15, 2027
CLIA Number39D1037109
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorDr. Richard K. Hacker
Laboratory Phone(570) 390-4545
Laboratory LocationLake Region Urgent Care273 Grandview Avenue, Honesdale, PA 18431
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TARYN ANN BERRY PA-C
Physician Assistant
103 SPRUCE ST
HAWLEY, PA 18428
Wayne County (570) 576-8081
ALLISON FAITH MILLER CRNP
Nurse Practitioner (Family)
103 SPRUCE ST
HAWLEY, PA 18428
Wayne County (570) 576-8081

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 Region Urgent Care, PC's NPI number?

The NPI number for Lake Region Urgent Care, PC is 1881916989. It was assigned to this organization in the NPPES registry on February 17, 2010.

Where is Lake Region Urgent Care, PC located?

Lake Region Urgent Care, PC is located at 103 Spruce St Suite 201, Hawley, PA 18428. The listed phone number is (570) 390-4545.

What is Lake Region Urgent Care, PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Lake Region Urgent Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1037109) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Region Urgent Care, PC was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.