Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LATIMER LLC
NPI 1154247807
Durable Medical Equipment & Medical Supplies in St Anthony Village, MN

Active since June 26, 2026
2924 ANTHONY LN, ST ANTHONY VILLAGE, MN 55418(651) 397-0313(651) 397-0041 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About LATIMER LLC

This page provides the complete NPI Profile along with additional information for Latimer Llc, a provider established in St Anthony Village, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1154247807 assigned on June 2026. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Khadir Tababouanga Albert (Owner, Ceo)

NPI
1154247807 Verify this NPI
Provider Name
LATIMER LLC
Entity Type
Organization
Location Address
2924 ANTHONY LN ST ANTHONY VILLAGE, MN 55418
Location Phone
(651) 397-0313
Location Fax
(651) 397-0041
Mailing Address
2924 ANTHONY LN ST ANTHONY VILLAGE, MN 55418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2026
Last Update Date
06-26-2026
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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
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KHADIR TABABOUANGA ALBERT

Authorized Official Title
OWNER, CEO
Authorized Official Phone
(952) 210-4481

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
2924 ANTHONY LN
ST ANTHONY, MN 55418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154247807, enumerated as an "organization" on June 26, 2026.

The provider is located at 2924 ANTHONY LN ST ANTHONY VILLAGE, MN 55418 and the phone number is (651) 397-0313.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.