Active NPI
Lakeland Health Services, Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Sleep Disorder Diagnostic Clinic/Center
- Blaine, MN
- NPI 1144462219
6204744238
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lakeland Health Services Inc | Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Sleep Disorder Diagnostic Clinic/Center
- Baxter, MN
- NPI 1134313208
Member Of
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.
-
- Pulmonary Disease Physician
- Anoka, MN
- NPI 1396717245
-
- Internal Medicine Physician
- Robbinsdale, MN
- NPI 1457320517
-
- Pulmonary Disease Physician
- Robbinsdale, MN
- NPI 1801810791
-
- Neurology Physician
- Coon Rapids, MN
- NPI 1538325345
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.