Organization Active NPI

Tucson Orthopedic Lab LLC

  • Prosthetic/Orthotic Supplier
  • Tucson, AZ
National Provider Identifier
1932187218
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TUCSON ORTHOPEDIC LAB LLC
Practice address
3818 E 5TH St
Tucson, AZ 85716-5145
Phone
(520) 319-0339
Fax
(520) 319-7825
NPI assigned
Jan 5, 2006
Last updated
Nov 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Danny Chan, C.O.
Title
President
Phone
(520) 319-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X AZ Primary

Addresses

Primary practice location

3818 E 5TH St
Tucson, AZ 85716-5145

Mailing address

PO Box 43863
Tucson, AZ 85733-3863
Phone (520) 319-0339

National Provider Directory

National Provider Directory

Locations

3818 E 5th St
Tucson, AZ 85716
Phone (520) 319-0339

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1932187218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43863",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333863",
            "telephone_number": "520-319-0339",
            "fax_number": "520-319-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165145",
            "telephone_number": "520-319-0339",
            "fax_number": "520-319-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON ORTHOPEDIC LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-319-0339",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.