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LAKE S & S LLC NPI 1306520796


NPI Information

NPI: 1306520796
Provider Name: LAKE S & S LLC
Classification: Secured Medical Transport (VAN) - 343800000X
Entity Type: Organization

CLIA Number: 45D2274153

Address:
13917 HEYWOOD DR
PFLUGERVILLE, TX
ZIP 78660
Phone: (512) 785-9487
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LAKE S & S LLC is a secured medical transport van in Pflugerville, TX. The provider is a public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. LAKE S & S LLC NPI is 1306520796. The provider is registered as an organization entity type.

The provider's business location address is:

13917 HEYWOOD DR
PFLUGERVILLE, TX
ZIP 78660-125
Phone: (512) 785-9487

The provider's authorized official is Serawet Lake .
The authorized official title is Driver and has the following contact phone number (512) 785-9487.

The CLIA number assigned to this NPI record is 45D2274153 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2023 and was last updated on 6/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343800000XSecured Medical Transport (VAN)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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