OrganizationActive
Locklab Provider Group, LLC
NPI 1376472910 · Family Medicine Physician · Salem, OR
Locklab Provider Group, LLC is a Family Medicine Physician organization in Salem, OR (NPI 1376472910).
Provider details
- NPI number
- 1376472910
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bobby Desai, President(305) 425-9125
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
780 Commercial St Se Ste 100
Salem, OR 97301-3465
Phone: (305) 425-9125
Street-level locationGet directions
Mailing address
10260 Sw Greenburg Rd Ste 400
Portland, OR 97223-5514
Registry dates
- Enumerated
- 2026-05-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Locklab Provider Group, LLC's NPI number?
- Locklab Provider Group, LLC's National Provider Identifier (NPI) is 1376472910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Locklab Provider Group, LLC?
- Locklab Provider Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Locklab Provider Group, LLC located?
- Locklab Provider Group, LLC's practice location on file with NPPES is 780 Commercial St Se Ste 100, Salem, OR 97301-3465.
- What is Locklab Provider Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Locklab Provider Group, LLC is (305) 425-9125.
- Who is the authorized official for Locklab Provider Group, LLC?
- The authorized official listed on Locklab Provider Group, LLC's NPPES record is Bobby Desai, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Locklab Provider Group, LLC's NPI active?
- Yes — Locklab Provider Group, LLC's NPI (1376472910) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.