Metropolitan Orthotic Laboratory, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

METROPOLITAN ORTHOTIC LABORATORY, INC.

Practice address

817 Portland Ave
Minneapolis, MN 55404-1145

Phone

(612) 341-3660

Fax

(612) 341-3664

NPI assigned

Sep 13, 2006

Last updated

Nov 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debby Kay Merritt

Title

Business Manager

Phone

(612) 341-3660

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1063517241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041145",
            "telephone_number": "612-341-3660",
            "fax_number": "612-341-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041145",
            "telephone_number": "612-341-3660",
            "fax_number": "612-341-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ORTHOTIC LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "612-341-3660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "58243ME",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848363900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Health Services LLC.
• Metropolitan Healthcare Services, LLC.
• Metropolitan Human Resources
• Metropolitan Internists, PA
• Metropolitan Orthotic Laboratory, Inc
• Metropolitan Periodontists
• Metropolitan Periodontists, P.a.
• Metropolitan Surgical Associates, P.a.
• Stephanie Metropulos, COMT
• Metta Birth and Family Services

• Prosthetic/Orthotic Supplier in Minneapolis, MN
• Providers in Minneapolis, 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 Nov 16, 2012; 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.