{"npi":"1184705121","type":"NPI-2","status":"active","name":{"display":"Great Lakes Medical Services LLC","other":[],"organization_name":"GREAT LAKES MEDICAL SERVICES LLC","authorised_official":"Kyle Prueter"},"specialty":{"primary_taxonomy":"261QU0200X","primary_taxonomy_description":"Urgent Care","slug":"urgent-care","schema_org_specialty":"Emergency","all":[{"code":"261QU0200X","description":"Urgent Care","primary":true,"state":"OH","license":"1515723"}]},"addresses":[{"purpose":"LOCATION","street_1":"25660 DIXIE HWY","city":"PERRYSBURG","state":"OH","postal_code":"435512167","country_code":"US","phone":"4198725343","fax":"4198722465"},{"purpose":"MAILING","street_1":"25660 DIXIE HWY","city":"PERRYSBURG","state":"OH","postal_code":"435512167","country_code":"US","phone":"4198725343","fax":"4198722465"}],"license":{"state":"OH","number":"1515723"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050525000695","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"9830131382"}]},"enumeration_date":"2006-10-18","last_updated":"2009-05-01","_meta":{"source":"NPPES","snapshot_date":"2009-05-01","doc_url":"https://findmynpi.com/api"}}