Organization Active NPI

Pedialights LLC

  • Durable Medical Equipment & Medical Supplies
  • Zephyrhills, FL
National Provider Identifier
1760050660
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEDIALIGHTS LLC
Practice address
8641 23Rd St
Zephyrhills, FL 33540-5729
Phone
(813) 906-6554
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Mr. Mikael Lundblad
Title
Owner
Phone
(813) 906-6554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8641 23Rd St
Zephyrhills, FL 33540-5729

Mailing address

PO Box 1431
Zephyrhills, FL 33539-1431
Phone (813) 906-6554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1760050660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1431",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335391431",
            "telephone_number": "813-906-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 23RD ST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335405729",
            "telephone_number": "813-906-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIALIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "LUNDBLAD",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-906-6554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.