MEDMARK TREATMENT CENTERS CLEARWATER
NPI 1992162879
Clinic/Center - Methadone in Clearwater, FL

Q: What is Lakeside Clinic, LLC's NPI number?

The NPI number for Lakeside Clinic, LLC is 1992162879. It was assigned to this organization in the NPPES registry on January 22, 2016. The provider is doing business as Medmark Treatment Centers Clearwater.

Q: What is Lakeside Clinic, LLC's specialty?

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

Active since January 22, 2016CLIA 10D2254086 · Waiver

13700 58TH ST N, BUILDING 2, SUITE 201, CLEARWATER, FL 33760(727) 223-3545 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Feb 20, 2023, Feb 12, 2021 and 1 more (4 updates tracked since 2016).

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About Medmark Treatment Centers Clearwater NPPES

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

MEDMARK TREATMENT CENTERS CLEARWATER (NPI 1992162879) is a healthcare organization registered as a methadone in Clearwater, Florida and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1992162879

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameLAKESIDE CLINIC, LLC

Location Address13700 58TH ST N, BUILDING 2, SUITE 201Clearwater, FL 33760-3757

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (469) 470-4779

Phone(727) 223-3545

Organization SubpartNo

Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300

Enumeration DateJanuary 22, 2016

Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1992162879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

13700 58TH ST N, Clearwater, FL 33760

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Other Names 1

Doing Business AsMedmark Treatment Centers Clearwater

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 10D2254086

Lakeside Clinic LLC Dba Medmark Treatment Centers Clearwater · Clearwater, FL

Active · expires Feb 28, 2028

CLIA Number10D2254086

Laboratory TypeNarcotic Treatment Progra

Certificate Effective DateFebruary 28, 2026

Certificate Expiration DateFebruary 28, 2028

Laboratory DirectorHerbert Gersh

Laboratory Phone(727) 223-3545

Laboratory LocationLakeside Clinic LLC Dba Medmark Treatment Centers Clearwater13700 58th Street N, Clearwater, FL 33760

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

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

NIKKI SZLAMNIK BT

Behavior Technician

13700 58TH ST N
CLEARWATER, FL 33760

Pinellas County (877) 823-4283

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 Clinic, LLC's NPI number?

The NPI number for Lakeside Clinic, LLC is 1992162879. It was assigned to this organization in the NPPES registry on January 22, 2016. The provider is doing business as Medmark Treatment Centers Clearwater.

Where is Lakeside Clinic, LLC located?

Lakeside Clinic, LLC is located at 13700 58th St N Building 2, Suite 201, Clearwater, FL 33760. The listed phone number is (727) 223-3545.

What is Lakeside Clinic, LLC's specialty?

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

Does Lakeside Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2254086) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Clinic, LLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.