LAKELINE MEDICAL SUPPLY
NPI 1043482540
Durable Medical Equipment & Medical Supplies in Cedar Park, TX
NPI Status: Active since March 25, 2008
Contact Information
1525 CYPRESS CREEK RD STE H
CEDAR PARK, TX
ZIP 78613
Phone: (512) 633-5669
Fax: (512) 401-2145
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 45D2313256
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2026
About LAKELINE MEDICAL SUPPLY
This page provides the complete NPI Profile along with additional information for Lakeline Medical Supply, a provider established in Cedar Park, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1043482540 assigned on March 2008. The practitioner's primary taxonomy code is 332B00000X with license number 0103078 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Tyson Jon Krugman Dc (Owner)
- NPI
- 1043482540
- Provider Name
- LAKELINE MEDICAL SUPPLY
- Entity Type
- Organization
- Location Address
- 1525 CYPRESS CREEK RD STE H CEDAR PARK, TX 78613
- Location Phone
- (512) 633-5669
- Location Fax
- (512) 401-2145
- Mailing Address
- 1525 CYPRESS CREEK RD STE H CEDAR PARK, TX 78613
- Mailing Phone
- (512) 633-5669
- Mailing Fax
- (512) 401-2145
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-25-2008
- Last Update Date
- 03-25-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 0103078
- License State
- TX
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2313256
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- MARC M. DANIEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakeline Medical Supply to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LAKELINE MEDICAL SUPPLY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043482540, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043482540, enumerated as an "organization" on March 25, 2008.
The provider is located at 1525 CYPRESS CREEK RD STE H CEDAR PARK, TX 78613 and the phone number is (512) 633-5669.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
