Regina M Lassabe

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

104007626 Issued in IA

Legal business name

REGINA M LASSABE

Practice address

209 E Maple St
Ste 6
Centerville, IA 52544-2200

Phone

(641) 216-8217

Fax

(641) 216-8218

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Regina M Lassabe

Title

Owner

Phone

(641) 216-8217

Specialties & licenses 1

Addresses

Other names 1

• Family Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1124479001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MAPLE ST",
            "address_2": "STE 6",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525442200",
            "telephone_number": "641-216-8217",
            "fax_number": "641-216-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MAPLE ST",
            "address_2": "STE 6",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525442200",
            "telephone_number": "641-216-8217",
            "fax_number": "641-216-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA M LASSABE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "LASSABE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-216-8217"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IA",
            "license": "104007626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Centerville, IA
• Providers in Centerville, IA by specialty
• Oxygen Equipment & Supplies (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.