Latitude Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LATITUDE MEDICAL LLC

Practice address

1320 Highway 231 S Ste 4
Troy, AL 36081-3000

Phone

(828) 238-8716

NPI assigned

Sep 23, 2022

Reactivated

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Pamela T Liljeberg

Title

Manager

Phone

(828) 238-8716

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert L Liljeberg Jr., M.D.

  • Orthopaedic Surgery Physician
  • Troy, AL
  • NPI 1659327526
  NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1205559200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOUNTAIN BROOK LN",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360814649",
            "telephone_number": "828-238-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 231 S STE 4",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813000",
            "telephone_number": "828-238-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-09-11",
        "certification_date": "2022-09-23",
        "deactivation_date": "2024-01-31",
        "reactivation_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "LILJEBERG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-238-8716"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Garrett Kurucz, RPH
• Robert Charles Kwok
• Lakeside Emergency Group LLC
• Emma Laine Landsberg
• Callista Langham
• Eric Justin Law, MD
• LHCG Lxiv, LLC (Troy Regional Medical Center Home Health)
• Lighthouse Hospice of Alabama
• Robert L Liljeberg Jr., M.D.
• Lincare Inc. (HCS Health Care Solutions)

• Durable Medical Equipment & Medical Supplies in Troy, AL
• Providers in Troy, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.