Organization Active NPI

Lakes Medical Equipment Inc.

  • Durable Medical Equipment & Medical Supplies
  • Minneapolis, MN
National Provider Identifier
1376874347
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LAKES MEDICAL EQUIPMENT INC.
Practice address
1808 University Ave NE Apt 100
Minneapolis, MN 55418-4311
Phone
(612) 990-3873
Fax
(612) 871-1206
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Mohamed Hussein Abdi
Title
Director
Phone
(612) 990-3873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X
Durable Medical Equipment & Medical Supplies 332B00000X MN Primary

Addresses

Primary practice location

1808 University Ave NE Apt 100
Minneapolis, MN 55418-4311

Mailing address

1808 University Ave NE Apt 100
Minneapolis, MN 55418-4311
Phone (612) 990-3873

Other names 1

  • NONE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376874347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 UNIVERSITY AVE NE APT 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184311",
            "telephone_number": "612-990-3873",
            "fax_number": "612-871-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 UNIVERSITY AVE NE APT 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184311",
            "telephone_number": "612-990-3873",
            "fax_number": "612-871-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-990-3873",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.