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Locklab Provider Group, LLC

Locklab Provider Group, LLC is a healthcare organization registered as Family Medicine Physician in Salem, OR, holding Type 2 (organization) NPI 1376472910 since 2026. The authorized official on file is Bobby Desai, President.

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NPI 1376472910
Entity type Organization (Type 2)
Legal business name Locklab Provider Group, LLC
Practice address 780 COMMERCIAL ST SE STE 100, Salem, OR, 97301
Phone 3054259125
Enumeration date 2026-05-19
Last updated in NPPES 2026-05-19

Authorized official

Name Bobby Desai
Title President
Phone 3054259125

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary
Copy-ready billing details
Provider: Locklab Provider Group, LLC
NPI: 1376472910
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 780 COMMERCIAL ST SE STE 100, Salem, OR, 97301

Providers at this address

NPI Name Type Specialty Location
1518204197 Becky Loving Individual Professional Counselor Salem, OR
1619384518 Leonor Elizabeth Cash Individual Professional Counselor Salem, OR
1285279042 Gaps Health Or PC Organization Internal Medicine Physician Salem, OR
1235820119 Mdpor Physicians, P.C. Organization Specialist Salem, OR
1013699099 Chelsea Prettyman Individual Mental Health Counselor Salem, OR
1831927052 Nexus Wound Consultants LLC Organization Family Medicine Physician Salem, OR
1487443875 Wildflower Telehealth Network Inc. Organization Lactation Consultant (Non-RN) Salem, OR
1639008279 Telegenix Provider Group, LLC Organization Family Medicine Physician Salem, OR

Verify this record

Cross-check NPI 1376472910 against the authoritative CMS record: view Locklab Provider Group, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Locklab Provider Group, LLC?
Locklab Provider Group, LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-19.