Organization Active NPI

Emg Laramie LLC

  • Assisted Living Facility
  • Laramie, WY
National Provider Identifier
1245561323
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMG LARAMIE LLC
Practice address
1072 N 22ND St
Laramie, WY 82072-5303
Phone
(701) 738-2000
Fax
(701) 757-4701
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Philip Gisi
Title
Presiding Member
Phone
(701) 741-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1072 N 22ND St
Laramie, WY 82072-5303

Mailing address

2850 24TH Ave S
Ste 201
Grand Forks, ND 58201-5831
Phone (701) 738-2000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2195194Emg Laramie LLC1072 N 22ND St, Laramie, WY 82072Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1245561323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 24TH AVE S",
            "address_2": "STE 201",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015831",
            "telephone_number": "701-738-2000",
            "fax_number": "701-757-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N 22ND ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725303",
            "telephone_number": "701-738-2000",
            "fax_number": "701-757-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMG LARAMIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "GISI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDING MEMBER",
        "authorized_official_telephone_number": "701-741-6230"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.