Organization Active NPI

Laxmi LLC

  • Family Medicine Physician
  • Bridgeport, AL
National Provider Identifier
1124174917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAXMI LLC
Practice address
47005 Al Highway 277
Bridgeport, AL 35740-7205
Phone
(256) 437-9700
Fax
(256) 437-8303
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
T. Murali Mohan, M.D.NPI 1609922467
Title
President
Phone
(256) 495-2379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

47005 Al Highway 277
Bridgeport, AL 35740-7205

Mailing address

PO Box 920
Bridgeport, AL 35740-0920
Phone (256) 437-9700

Other names 1

  • M & M Diagnostics & WalkIn Doing business as

National Provider Directory

National Provider Directory

Locations

47005 AL Highway 277
Bridgeport, AL 35740
Phone (256) 437-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124174917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920",
            "city": "BRIDGEPORT",
            "state": "AL",
            "postal_code": "357400920",
            "telephone_number": "256-437-9700",
            "fax_number": "256-437-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47005 AL HIGHWAY 277",
            "city": "BRIDGEPORT",
            "state": "AL",
            "postal_code": "357407205",
            "telephone_number": "256-437-9700",
            "fax_number": "256-437-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAXMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "MURALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-495-2379",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & M Diagnostics & WalkIn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.