GREAT LAKES ORTHOPEDIC LABS, INC
NPI 1245318278
Prosthetic/Orthotic Supplier in Buffalo, NY
NPI Status: Active since November 01, 2006
Contact Information
1031 MAIN ST
BUFFALO, NY
ZIP 14203
Phone: (716) 893-4116
Fax: (716) 897-2110
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 33D0885327
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-18-2026
About GREAT LAKES ORTHOPEDIC LABS, INC
This page provides the complete NPI Profile along with additional information for Great Lakes Orthopedic Labs, Inc, a provider established in Buffalo, New York operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1245318278 assigned on November 2006. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Thomas J Daley Cpo (Vice President)
- NPI
- 1245318278
- Provider Name
- GREAT LAKES ORTHOPEDIC LABS, INC
- Entity Type
- Organization
- Location Address
- 1031 MAIN ST BUFFALO, NY 14203
- Location Phone
- (716) 893-4116
- Location Fax
- (716) 897-2110
- Mailing Address
- 1031 MAIN ST BUFFALO, NY 14203
- Mailing Phone
- (716) 893-4116
- Mailing Fax
- (716) 897-2110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-01-2006
- Last Update Date
- 12-29-2023
- Code Navigator
Great Lakes Orthopedic Labs, Inc is a medicare supplier with PTAN 20654723 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Lymphedema Compression Treatment Items.
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00011212601 | OTHER (01) | NY | UNIVERA HEALTHCARE |
| 000551033001 | OTHER (01) | NY | BLUE CROSS & BLUE SHIELD |
| 16146 | OTHER (01) | NY | MOLINA HEALTHCARE |
| 040401000151 | OTHER (01) | NY | FIDELIS CARE NEW YORK |
| 8207649 | OTHER (01) | NY | INDEPENDENT HEALTH ASSOCI |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20654723
- Accepts Medicare Assignment
- NO
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Lymphedema Compression Treatment Items -
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
- 33D0885327
- Facility Type
- Physician Office
- Certificate Effective Date
- April 19, 2024
- Certificate Expiration Date
- April 18, 2026
- Laboratory Director
- PIERRE E. WILLIOT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Great Lakes Orthopedic Labs, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1245318278, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BUFFALO, NY 14203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245318278, enumerated as an "organization" on November 01, 2006.
The provider is located at 1031 MAIN ST BUFFALO, NY 14203 and the phone number is (716) 893-4116.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
