Organization
PROSTHETIC LABORATORIES OF ROCHESTER, INC
Active
Parent organization
GMS OF ROCHESTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GMS OF ROCHESTER, INC.
Authorized official
RANDY LACEY (CEO)
(507) 536-6100
Entity
Organization
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-6966
(218) 333-6976
Mailing address
121 23RD AVE SW, ROCHESTER, MN 55902-0998
(507) 281-5250
(507) 288-6928
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286642000
—
MN
Enumeration date
01/17/2008
Last updated
09/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us