Organization Active NPI

Lakeland Health Services, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Plymouth, MN
National Provider Identifier
1003850868
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LAKELAND HEALTH SERVICES, INC.
Practice address
10600 Old County Road 15 # 140
Plymouth, MN 55441-6200
Phone
(763) 512-1551
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
George Omae
Title
Ceo & President
Phone
(763) 354-7648

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X MN Primary
Durable Medical Equipment & Medical Supplies 332B00000X MN

Addresses

Primary practice location

10600 Old County Road 15 # 140
Plymouth, MN 55441-6200

Mailing address

10600 Old County Road 15 Ste 140
Plymouth, MN 55441-6201
Phone (763) 512-1551

Other names 1

  • Lakeland Sleep & CPAP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040824000123 MN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204744238 Practice locations: Plymouth, MN
O20100930033662 MN DME Supplier - Medical Supply Company 6204744238 Practice locations: Plymouth, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lakeland Health Services Inc10600 Old County Road 15, Plymouth, MN 55441-6201(763) 512-1551 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since Aug 1, 2006

National Provider Directory

National Provider Directory

Member of 1

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

Locations

11855 Ulysses St NE
Ste 210
Blaine, MN 55434
Phone (763) 587-7000

11855 Ulysses St NE
Ste 200
Blaine, MN 55434
Phone (612) 790-8762

11855 Ulysses St NE
Ste 205
Blaine, MN 55434
Phone (763) 354-7653

9211 Plymouth Ave N
Golden Valley, MN 55427
Phone (763) 512-1551

622 Roosevelt Rd
Ste 140
Saint Cloud, MN 56301
Phone (320) 203-2380

3550 Labore Rd
Saint Paul, MN 55110

1010 Bandana Blvd W
Ste 236
Saint Paul, MN 55108
Phone (651) 641-7100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1003850868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 OLD COUNTY ROAD 15 STE 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416201",
            "telephone_number": "763-512-1551",
            "fax_number": "763-512-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 OLD COUNTY ROAD 15 # 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416200",
            "telephone_number": "763-512-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "OMAE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "763-354-7648"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Sleep & CPAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.