Laurel Advanced Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12649/11.1 Issued in MS

Legal business name

LAUREL ADVANCED MEDICAL EQUIPMENT LLC

Practice address

1003 Mitchell Dr
Laurel, MS 39440-2548

Phone

(601) 426-2178

Fax

(601) 426-2179

NPI assigned

Sep 30, 2013

Last updated

May 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tracy Dewain Wilson

Title

Owner

Phone

(601) 498-6867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1477980811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MITCHELL DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402548",
            "telephone_number": "601-426-2178",
            "fax_number": "601-426-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MITCHELL DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402548",
            "telephone_number": "601-426-2178",
            "fax_number": "601-426-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL ADVANCED MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DEWAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-498-6867",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "12649/11.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk L Landrum
• Lori Anne Landrum, PT, DPT
• Christan Dayne Langley
• Christian C. Langley, FNP
• Michael D Larochelle, DO
• Laurel Bone and Joint Clinic, PA
• Laurel Cancer Care, LLC
• Laurel Clinic for Women
• Laurel Dental Properties (Pediatric Dental Group of Laurel)
• Laurel Ear, Nose, and Throat Surgical Clinic

• Durable Medical Equipment & Medical Supplies in Laurel, MS
• Providers in Laurel, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.