Organization Active NPI

Lott Med LLC

  • Customized Equipment (DME)
  • Charlotte, NC
National Provider Identifier
1548602121
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
C201306400298 Issued in NC
Legal business name
LOTT MED LLC
Practice address
9700 Research Dr Ste 151
Charlotte, NC 28262-0011
Phone
(980) 237-2217
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Jasmin Bambur
Title
Owner
Phone
(980) 237-2217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C201306400298 NC
Customized Equipment (DME) 332BC3200X C201306400298 NC Primary

Addresses

Primary practice location

9700 Research Dr Ste 151
Charlotte, NC 28262-0011

Mailing address

9700 Research Dr Ste 151
Charlotte, NC 28262-0011
Phone (980) 237-2217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140826000581 NC DME Supplier - Medical Supply Company 2769600295 Practice locations: Charlotte, NC

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
Lott Med LLC9700 Research Dr, Charlotte, NC 28262-0011(980) 237-2217 Ostomy Supplies|Urological Supplies|Surgical Dressings Does not accept assignmentParticipating since Jul 16, 2014

National Provider Directory

National Provider Directory

Locations

9700 Research Dr
Ste 151
Charlotte, NC 28262
Phone (980) 237-2217

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1548602121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR STE 151",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620011",
            "telephone_number": "980-237-2217",
            "fax_number": "980-321-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR STE 151",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620011",
            "telephone_number": "980-237-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTT MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BAMBUR",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-237-2217"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "C201306400298",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "C201306400298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.