{"npi":"1962443341","type":"NPI-2","status":"active","name":{"display":"Lake West Services, INC","other":[],"organization_name":"LAKE WEST SERVICES, INC","authorised_official":"Lynn Brom"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"26300 EUCLID AVE","city":"EUCLID","state":"OH","postal_code":"441323703","country_code":"US","phone":"2167313618","fax":"2167310411"},{"purpose":"MAILING","street_1":"26300 EUCLID AVE","city":"EUCLID","state":"OH","postal_code":"441323703","country_code":"US","phone":"2167313618","fax":"2167310411"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0128927","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-09","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}