Prosthetic Laboratories of Rochester, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC LABORATORIES OF ROCHESTER, INC.

Practice address

3835 Supreme CT NW
Suite 4
Bemidji, MN 56601-4446

Phone

(218) 825-7255

Fax

(507) 625-8564

NPI assigned

Jun 23, 2014

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Sheryl Price

Title

Director of Reimbursement

Phone

(503) 493-8288

Specialties & licenses 2

Addresses

Other names 1

• Hanger Clinic Doing business as

Member of 1

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

• Hanger Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1659443380

  Member Of

  NPD member

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1013322650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846",
            "telephone_number": "218-825-7255",
            "fax_number": "507-625-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW",
            "address_2": "SUITE 4",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014446",
            "telephone_number": "218-825-7255",
            "fax_number": "507-625-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC LABORATORIES OF ROCHESTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preventative Measures LLC
• Zachary Priddy
• Daniel T Priewe, BA
• Daidrie Ann Promersberger, RDH
• Prosthetic Laboratories of Rochester, Inc
• Kelly D Pruett, APN
• Lisa Ellen Putney, D.O.
• Steven J Quamme, MD
• Sofia Qureshi, D.O.
• Aadil Amin Rajwani, MB BCH BAO

• Prosthetic/Orthotic Supplier in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.