Lakeside Floor Coverings, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

LAKESIDE FLOOR COVERINGS, INC.

Practice address

7500 University Ave NE Ste 1
Fridley, MN 55432-2657

Phone

(763) 503-0100

Fax

(763) 503-4778

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Keia Isaacson

Title

President

Phone

(763) 503-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1124646740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 UNIVERSITY AVE NE STE 1",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322657",
            "telephone_number": "763-503-0100",
            "fax_number": "763-503-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 UNIVERSITY AVE NE STE 1",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322657",
            "telephone_number": "763-503-0100",
            "fax_number": "763-503-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE FLOOR COVERINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "KEIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-503-0100"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Lager
• Justine Nicole Lahn, LICSW
• Brittany J Lahr, SLP
• Laila'S Helping Hands Pca Agency
• Robert Lonnie Laing, DDS
• Ian J Lalich, MD
• Landmark Senior Living, LLC
• Vicki Delores Langemo, M.A.,LPC
• Mai Mong Lao, LGSW
• Lapinski Family Dentistry PA

• Home Modifications Contractor in Fridley, MN
• Providers in Fridley, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.