Lake Superior Medical Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE SUPERIOR MEDICAL EQUIPMENT INC

Practice address

907 Stanley Ave
Cloquet, MN 55720-3186

Phone

(218) 879-2211

Fax

(218) 879-2233

NPI assigned

Apr 22, 2013

Organization subpart

Yes

Parent organization

LAKE SUPERIOR MEDICAL EQUIPMENT, INCAs reported in NPPES

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

Authorized official

Name

Ms. Tina Meng

Title

General Manager

Phone

(218) 727-0600

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lake Superior Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Duluth, MN
  • NPI 1497759864

  1850504010

  Same PAC ID

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

Lake Superior Medical Equipment Inc2 organizations share this tax ID, including this one

Part of

Lake Superior Medical Equipment Inc

Other organizations with this tax ID 1

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

• Lake Superior Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Duluth, MN
  • NPI 1497759864
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lake Superior Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Duluth, MN
  • NPI 1497759864
  NPPES parent name

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1881038875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 STANLEY AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557203186",
            "telephone_number": "218-879-2211",
            "fax_number": "218-879-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 STANLEY AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557203186",
            "telephone_number": "218-879-2211",
            "fax_number": "218-879-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUPERIOR MEDICAL EQUIPMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE SUPERIOR MEDICAL EQUIPMENT, INC",
        "enumeration_date": "2013-04-22",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "218-727-0600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "275S9LA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41725700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125158900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "169334",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/SELECT CARE",
            "identifier": "8200355",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristel Ellen Kubis
• Karla M Kukowski, PT
• David Michael Labore, PA-C
• Madelyn Laflamme, LGSW
• Lake Superior Isd 381
• Billie Larson
• Katie Larson
• John Richard Latson, LP
• Lisa Leedham, PA-C
• Maraya Lynn Leino

• Durable Medical Equipment & Medical Supplies in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.