Organization Active NPI

Lak Sam Inc

Doing business as lak transportation

  • Non-emergency Medical Transport (VAN)
  • Glenmont, NY
National Provider Identifier
1841788536
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
04572414 Issued in NY
Legal business name
LAK SAM INC
Doing business as
lak transportation
Practice address
19B Hartman Rd
Glenmont, NY 12077-4418
Phone
(518) 300-7819
NPI assigned
Apr 27, 2018
Last updated
Apr 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Samanth P Paththage
Title
President
Phone
(518) 300-7819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 04572414 NY Primary

Addresses

Primary practice location

19B Hartman Rd
Glenmont, NY 12077-4418

Mailing address

19B Hartman Rd
Glenmont, NY 12077-4418
Phone (518) 300-7819

Other names 1

  • lak transportation 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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1841788536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19B HARTMAN RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120774418",
            "telephone_number": "518-300-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19B HARTMAN RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120774418",
            "telephone_number": "518-300-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAK SAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "PATHTHAGE",
        "authorized_official_first_name": "SAMANTH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-300-7819"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "04572414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lak transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.