Lava Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000377 Issued in IL

Legal business name

LAVA SUPPLY, INC.

Practice address

7564 Lincoln Ave
Skokie, IL 60077-3335

Phone

(847) 329-1238

Fax

(847) 329-1255

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Larisa Turgel

Title

President

Phone

(847) 329-1238

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

Tax ID family

Lava Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lava Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Wheeling, IL
  • NPI 1316138035
  NPD tax ID

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1780638353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 AMALFI DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255634",
            "telephone_number": "847-329-1238",
            "fax_number": "847-329-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7564 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773335",
            "telephone_number": "847-329-1238",
            "fax_number": "847-329-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVA SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "TURGEL",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-329-1238"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348900572001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lau, MA, CCC-SLP
• Victor Ka Tai Lau, DDS
• Lauren Goffen, LCSW, LTD
• Robert Scott Lauren, DDS
• Stephanie Laurusonis, FNP-BC
• Mary Alice Lavin, MSW, LCSW
• Anthonia N Lawrence
• Katherine E. Lawrence, MOT
• Mary Lawrence, FNP
• Patricia B. Lawrence, NP

• Durable Medical Equipment & Medical Supplies in Skokie, IL
• Providers in Skokie, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.