Lakeland Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LAKELAND MEDICAL EQUIPMENT LLC

Practice address

211 Hilltop Rd
Suite S
Saint Joseph, MI 49085-2300

Phone

(269) 983-0202

Fax

(269) 982-0224

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By 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. Dennis Mack

Title

Vice President

Phone

(269) 983-8399

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659326270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HILLTOP RD",
            "address_2": "SUITE S",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852300",
            "telephone_number": "269-983-0202",
            "fax_number": "269-982-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HILLTOP RD",
            "address_2": "SUITE S",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852300",
            "telephone_number": "269-983-0202",
            "fax_number": "269-982-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "269-983-8399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4767427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeland Hospitals at Niles and St Joseph, Inc (Corewell Health Lakeland Hospitals St. Joseph Hospital)
• Lakeland Hospitals at Niles and St Joseph, Inc
• Lakeland Hospitals at Niles and St Joseph, Inc (Spectrum Health Lakeland Anesthesia)
• Lakeland Hospitals at Niles and St Joseph, Inc
• Lakeland Hospitals at Niles and St. Joseph, Inc.
• Lakeland Medical Pracrices (Lakeland Neurosurgery)
• Lakeland Medical Practices
• Lakeland Medical Practices (Lakeland Neurology)
• Lakeland Medical Practices (Michiana Sleep & Pulmonary Associates)
• Lakeland Medical Practices (Lakeland Cancer Specialist)

• Oxygen Equipment & Supplies (DME) in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.