Iamlolaroe LTD. Liability Co.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

IAMLOLAROE LTD. LIABILITY CO.

Practice address

6319 Waterford Hills Dr Apt 1313
Charlotte, NC 28269-1506

Phone

(704) 492-7186

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Octavia Martin

Title

Cranial Prosthesis Specialist

Phone

(704) 492-7186

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1891488458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 WATERFORD HILLS DR APT 1313",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691506",
            "telephone_number": "704-492-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 WATERFORD HILLS DR APT 1313",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691506",
            "telephone_number": "704-492-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAMLOLAROE LTD. LIABILITY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "704-492-7186"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "0000000000",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "6319 Waterford Hills Dr Apt 1313",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282691506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.