Provider Demographics
NPI:1346992336
Name:LAG SERVICES SOLUTIONS CORP
Entity Type:Organization
Organization Name:LAG SERVICES SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLERO ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-558-5338
Mailing Address - Street 1:5951 NW 151ST ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2445
Mailing Address - Country:US
Mailing Address - Phone:786-558-5345
Mailing Address - Fax:
Practice Address - Street 1:5951 NW 151ST ST STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2445
Practice Address - Country:US
Practice Address - Phone:786-558-5345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies