LAKE CITY SURGERY CENTER LLC NPI 1598965634

NPI Details

LAKE CITY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lake City, FL. LAKE CITY SURGERY CENTER, LLC NPI is 1598965634. The provider is registered as an organization entity type.

The provider's business location address is:

208 SW PROSPERITY PLACE
LAKE CITY, FL
ZIP 32024
Phone: (386) 487-3930
Fax: (386) 487-3935

The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorized Official and has the following contact phone number (214) 213-0732.

The CLIA number assigned to this NPI record is 10D0925298 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Incision of tendon covering of finger (HCPCS:26055)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Removal of scar tissue to release tendon of forearm or wrist (HCPCS:25295)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
• Release and/or relocation of elbow nerve (HCPCS:64718)
• Creation of skin and tissue graft (HCPCS:15740)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
• Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 7/18/2007 and was last updated on 7/30/2025.

Taxonomy Codes

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