Provider Type Icon

METROPOLITAN ORTHOTIC LABORATORY INC. NPI 1063517241


NPI Information

NPI: 1063517241
Provider Name: METROPOLITAN ORTHOTIC LABORATORY, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
817 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 341-3660
Get Directions

METROPOLITAN ORTHOTIC LABORATORY, INC. is a prosthetic orthotic supplier in Minneapolis, MN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. METROPOLITAN ORTHOTIC LABORATORY, INC. NPI is 1063517241. The provider is registered as an organization entity type.

The provider's business location address is:

817 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55404-145
Phone: (612) 341-3660
Fax: (612) 341-3664

The provider's authorized official is Debby Kay Merritt .
The authorized official title is Business Manager and has the following contact phone number (612) 341-3660.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 11/16/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1848363900MEDICAIDMINNESOTA
20459920001MEDICARE NSCMINNESOTA
358243MEOTHERMINNESOTABCBS MN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.