Organization Active NPI

Lakeshore Medical Transport

  • Secured Medical Transport (VAN)
  • Sugar Land, TX
National Provider Identifier
1245115633
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
LAKESHORE MEDICAL TRANSPORT
Practice address
12808 W Airport Blvd Ste 325C
Sugar Land, TX 77478-6227
Phone
(713) 364-6848
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Bubacarr SamatehNPI 1780384594
Title
Owner
Phone
(503) 267-8905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

12808 W Airport Blvd Ste 325C
Sugar Land, TX 77478-6227

Mailing address

12808 W Airport Blvd Ste 325C
Sugar Land, TX 77478-6227
Phone (713) 364-6848

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Medical Transport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12808 W Airport Blvd
Ste 325C
Sugar Land, TX 77478
Phone (281) 302-6027

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1245115633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 325C",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786227",
            "telephone_number": "713-364-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 325C",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786227",
            "telephone_number": "713-364-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "SAMATEH",
        "authorized_official_first_name": "BUBACARR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-267-8905"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.