Active NPI
Laura Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Miami Lakes, FL
National Provider Identifier
1194830364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1313090
- Legal business name
- LAURA MEDICAL SUPPLY, INC.
- Practice address
- 5979 NW 151St St
Suite 233
Miami Lakes, FL 33014-2400 - Phone
- (305) 822-4040
- Fax
- (305) 822-4006
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Y Marin
- Title
- President
- Phone
- (305) 822-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1313090 | FL | Primary |
Addresses
Primary practice location
5979 NW 151St St
Suite 233
Miami Lakes, FL 33014-2400
Mailing address
5979 NW 151St St
Suite 233
Miami Lakes, FL 33014-2400
Phone (305) 822-4040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-8013467388-1 | Other | FL | SALES AND USE TAX |
| 32 : 04699 | Other | FL | OXYGEN LICENSE |
| 1313090 | Other | FL | HME LICENSE |
National Provider Directory
National Provider DirectoryLocations
5979 NW 151st St
Ste 233
Miami Lakes, FL 33014
Phone (305) 822-4040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194830364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST",
"address_2": "SUITE 233",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142400",
"telephone_number": "305-822-4040",
"fax_number": "305-822-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST",
"address_2": "SUITE 233",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142400",
"telephone_number": "305-822-4040",
"fax_number": "305-822-4006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARIN",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-822-4040"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1313090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SALES AND USE TAX",
"identifier": "23-8013467388-1",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXYGEN LICENSE",
"identifier": "32 : 04699",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HME LICENSE",
"identifier": "1313090",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
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.