Organization Active NPI

Laura Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Miami Lakes, FL
National Provider Identifier
1194830364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313090 Issued in FL
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

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
Laura Y Marin
Title
President
Phone
(305) 822-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23-8013467388-1OtherFLSALES AND USE TAX
32 : 04699OtherFLOXYGEN LICENSE
1313090OtherFLHME LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.