Organization Active NPI

Labris, Inc.

  • Prosthetic/Orthotic Supplier
  • Upper Marlboro, MD
National Provider Identifier
1740412733
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Aug 10, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.