Lakeland Surgical & Diagnostic Center LLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1213 Issued in FL

Legal business name

LAKELAND SURGICAL & DIAGNOSTIC CENTER LLP

Doing business as

Griffin Rd Campus of LSDC

Practice address

818 Griffin Rd
Lakeland, FL 33805-2440

Phone

(863) 687-0566

Fax

(863) 616-9289

NPI assigned

Jan 11, 2007

Last updated

Mar 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Emily Duncan

Title

Ceo

Phone

(863) 683-2428

Specialties & licenses 1

Addresses

Other names 1

• GRIFFIN RD CAMPUS OF LSDC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Central Florida Eye Clinic P.a.

  dba Central Florida Eye Associates

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1114113685

  Member Of

  NPD member
• Lakeland Regional Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1497748743

  Member Of

  NPD member
• Watson Clinic LLP

  dba Watson Clinic LLP Highlands

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1780988816

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1962552232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MISSOURI AVE",
            "address_2": "STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154600",
            "telephone_number": "863-683-2428",
            "fax_number": "863-686-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 GRIFFIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052440",
            "telephone_number": "863-687-0566",
            "fax_number": "863-616-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND SURGICAL & DIAGNOSTIC CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-683-2428",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRIFFIN RD CAMPUS OF LSDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeland Regional Health Systems, Inc.
• Lakeland Regional Medical Center, Inc. (Lakeland Regional Medical Center)
• Lakeland SNF Investors LLC (Scott Lake Health and Rehabilitation)
• Lakeland SNF Operations LLC (Lakeland Center for Rehabilitation and Healing)
• Lakeland Sports Performance Inc (Velocity Chiropractic)
• Lakeland Therapy Providers, Inc
• Lakeland Therapy Providers, Inc.
• Lakeland Urology PA
• Lakeland Volunteers in Medicine
• Lakeland Volunteers in Medicine

• Ambulatory Surgical Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.