MEDMARK TREATMENT CENTERS LEMONT FURNACE
NPI 1942779467
Clinic/Center - Methadone in Lemont Furnace, PA

Active since November 14, 2018CLIA 39D2157254 · Waiver
2262 UNIVERSITY DR, LEMONT FURNACE, PA 15456(724) 323-8200 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Feb 28, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2018).

About Medmark Treatment Centers Lemont Furnace NPPES

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

MEDMARK TREATMENT CENTERS LEMONT FURNACE (NPI 1942779467) is a healthcare organization registered as a methadone in Lemont Furnace, Pennsylvania and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1942779467
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePOLARIS RENEWAL SERVICES, INC.
Location Address2262 UNIVERSITY DRLemont Furnace, PA 15456-1332
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-3018
Organization SubpartYes
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateNovember 14, 2018
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1942779467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

2262 UNIVERSITY DR, Lemont Furnace, PA 15456

Other Names 1

Doing Business AsMedmark Treatment Centers Lemont Furnace

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 39D2157254

Polaris Renewal Services, Inc · Lemont Furnace, PA
Active · expires Nov 1, 2026
CLIA Number39D2157254
Laboratory TypeOpioid Trmt Facility
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorDr. Mickey R. Merringer
Laboratory Phone(724) 323-8200
Laboratory LocationPolaris Renewal Services, Inc2262 University Drive, Lemont Furnace, PA 15456
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 5

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

Counselor (Addiction (Substance Use Disorder))
2262 UNIVERSITY DR
LEMONT FURNACE, PA 15456
Counselor (Addiction (Substance Use Disorder))
2262 UNIVERSITY DR
LEMONT FURNACE, PA 15456
Licensed Practical Nurse
2262 UNIVERSITY DR
LEMONT FURNACE, PA 15456
Counselor (Addiction (Substance Use Disorder))
2262 UNIVERSITY DR
LEMONT FURNACE, PA 15456
Licensed Practical Nurse
2262 UNIVERSITY DR
LEMONT FURNACE, PA 15456

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 Polaris Renewal Services, Inc.'s NPI number?

The NPI number for Polaris Renewal Services, Inc. is 1942779467. It was assigned to this organization in the NPPES registry on November 14, 2018. The provider is doing business as Medmark Treatment Centers Lemont Furnace.

Where is Polaris Renewal Services, Inc. located?

Polaris Renewal Services, Inc. is located at 2262 University Dr, Lemont Furnace, PA 15456. The listed phone number is (724) 323-8200.

What is Polaris Renewal Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Polaris Renewal Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2157254) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polaris Renewal Services, Inc. was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.