Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
Active OrganizationCLEANSLATE 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 103WILKES BARRE, PA, 187025240Browse 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
| Name | NPI |
|---|---|
| WILKES BARRE ASC., LP | 1962405894 |
| GEISINGER WYOMING VALLEY MEDICAL CENTER | 1437551868 |
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.