Organization Active NPI

Alliance Orthopedic Labs, LLC

Doing business as Transcend Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Annapolis, MD
National Provider Identifier
1275536484
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ALLIANCE ORTHOPEDIC LABS, LLC
Doing business as
Transcend Orthotics & Prosthetics
Practice address
134 Holiday CT Ste 302
Annapolis, MD 21401
Phone
(410) 224-2000
Fax
(410) 224-5696
NPI assigned
May 23, 2005
Last updated
Jan 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSCEND ORTHOTICS & PROSTHETICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Jeffrey Laderer
Title
Cfo
Phone
(574) 233-3352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 02991470 MD
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

134 Holiday CT Ste 302
Annapolis, MD 21401

Mailing address

17530 Dugdale Dr
South Bend, IN 46635-1583
Phone (574) 233-3352

Other identifiers 3

IdentifierTypeStateIssuer
027147400MedicaidDC
009190139MedicaidVA
714501200MedicaidMD

Other names 2

  • Transcend Orthotics & Prosthetics Doing business as
  • Alliance Orthopedic Labs, Inc. Former legal business name

National Provider Directory

National Provider Directory
Part of
Transcend Orthotics Prosthetics LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

17530 Dugdale Dr
South Bend, IN 46635
Phone (574) 233-3352

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1275536484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17530 DUGDALE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351583",
            "telephone_number": "574-233-3352",
            "fax_number": "574-288-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOLIDAY CT STE 302",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-224-2000",
            "fax_number": "410-224-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ORTHOPEDIC LABS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSCEND ORTHOTICS & PROSTHETICS, LLC",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "LADERER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "574-233-3352"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "02991470",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027147400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190139",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714501200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transcend Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Orthopedic Labs, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.