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CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC

Active Organization

CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC is a Multi-Specialty Clinic organization located in WILKES BARRE, Pennsylvania. NPI 1184177263 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · WILKES BARRE, PA

Registration Details

NPI Number
1184177263
Provider Type
Organization
NPI Issued
Jul 26, 2016 (10.071052115384 yrs)
Last Updated
Dec 17, 2025

Practice Information

Address
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA, 187025240
Browse PA providers · Browse ZIP 18702
Phone
4135842173
Fax
8332797074
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Multi-Specialty Clinic

Other Multi-Specialty Clinic Organizations in WILKES BARRE, PA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.