LARAMIE RESPIRATORY SERVICE LLC NPI 1477671402

NPI Information

NPI: 1477671402
Provider Name: LARAMIE RESPIRATORY SERVICE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 53D2004461

Address:
255 N 3RD ST
LARAMIE, WY
ZIP 82072
Phone: (307) 755-0765
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LARAMIE RESPIRATORY SERVICE, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Laramie, WY. LARAMIE RESPIRATORY SERVICE, LLC NPI is 1477671402. The provider is registered as an organization entity type.

The provider's business location address is:

255 N 3RD ST
LARAMIE, WY
ZIP 82072-005
Phone: (307) 755-0765
Fax: (307) 745-3375

The provider's authorized official is Duane Cattles .
The authorized official title is President and has the following contact phone number (307) 755-0765.

The CLIA number assigned to this NPI record is 53D2004461 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2007 and was last updated on 11/8/2010.

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
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112057300	MEDICAID	WYOMING
2	1120030001	MEDICARE ID-TYPE UNSPECIFIED	WYOMING

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

NPI Synchronization or Removal

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