Organization Active NPI

Laramie Respiratory Service, LLC

  • Oxygen Equipment & Supplies (DME)
  • Laramie, WY
National Provider Identifier
1477671402
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
LARAMIE RESPIRATORY SERVICE, LLC
Practice address
255 N 3Rd St
Laramie, WY 82072-3005
Phone
(307) 755-0765
Fax
(307) 745-3375
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Mr. Duane Cattles
Title
President
Phone
(307) 755-0765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

255 N 3Rd St
Laramie, WY 82072-3005

Mailing address

255 N 3Rd St
Laramie, WY 82072-3005
Phone (307) 755-0765

Other identifiers 1

IdentifierTypeStateIssuer
112057300MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040460 WY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 6305966359 Practice locations: Laramie, WY

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Laramie Respiratory Service LLC255N 3Rd St, Laramie, WY 82072-3005(307) 755-0765 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

255 N 3rd St
Laramie, WY 82072
Phone (307) 755-0765

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1477671402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723005",
            "telephone_number": "307-755-0765",
            "fax_number": "307-745-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723005",
            "telephone_number": "307-755-0765",
            "fax_number": "307-745-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAMIE RESPIRATORY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "CATTLES",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-755-0765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112057300",
            "state": "WY"
        }
    ],
    "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 Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.