Active NPI
Labris, Inc.
- Prosthetic/Orthotic Supplier
- Upper Marlboro, MD
National Provider Identifier
1740412733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LABRIS, INC.
- Practice address
- 13602 Mackernut CT
Upper Marlboro, MD 20774-1977 - Phone
- (301) 526-0051
- Fax
- (301) 249-4741
- NPI assigned
- Aug 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Gartrell
- Title
- Owner
- Phone
- (301) 526-0051
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
13602 Mackernut CT
Upper Marlboro, MD 20774-1977
Mailing address
13602 Mackernut CT
Upper Marlboro, MD 20774-1977
Phone (301) 526-0051
Other names 1
- Perruca
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1740412733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13602 MACKERNUT CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741977",
"telephone_number": "301-526-0051",
"fax_number": "301-249-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13602 MACKERNUT CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741977",
"telephone_number": "301-526-0051",
"fax_number": "301-249-4741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABRIS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "GARTRELL",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-526-0051"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Perruca",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.