Emerald Lake, Inc in Las Vegas - Oxygen Equipment & Supplies
Emerald Lake, Inc - NPI 1578605341
Emerald Lake, Inc is a Oxygen Equipment & Supplies in Las Vegas, Nevada. Emerald Lake, Inc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Emerald Lake, Inc is 1578605341. The last update date is 2015-12-03.
Emerald Lake, Inc's current location address is 5243 W Charleston Blvd Ste 9, Las Vegas, Nevada. You can contact this provider via phone number 7026786267 and fax number 7024747051. The mailing address for Emerald Lake, Inc is 5243 W Charleston Blvd Ste 9, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emerald Lake, Inc |
|---|---|
| Address | 5243 W Charleston Blvd Ste 9, Las Vegas, Nevada |
| Phone Number | 7026786267 |
| Fax Number | 7024747051 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Agwara Kelechi |
| Telephone Number | 7026786267 |
NPI Number Detail
| NPI Number | 1578605341 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2015-12-03 |
Provider Mailing Address Detail
| Address | 5243 W Charleston Blvd Ste 9 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891461304 |
| Phone Number | 7026786267 |
| Fax Number | 7024747051 |
Provider's Primary Taxonomy Detail
| Speciality | Oxygen Equipment & Supplies |
|---|---|
| Taxonomy | 332Bx2000X |
| Licence No | MP00814 |
|
Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3302694 | NV | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Emerald Lake, Inc?
The Emerald Lake, Inc has been issued the NPI (National Provider Identifier) 1578605341 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Emerald Lake, Inc?
The Emerald Lake, Inc is situated at 5243 W Charleston Blvd Ste 9, in the city of Las Vegas, state of NV, with the zip code 891461304.
What is Emerald Lake, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Emerald Lake, Inc is Oxygen Equipment & Supplies, and the taxonomy classification code that categorizes this area of expertise is 332Bx2000X.
On what date did the Emerald Lake, Inc receive the assignment of its 1578605341 from the Centers for Medicare & Medicaid Services?
The Emerald Lake, Inc was issued its 1578605341 by the Centers for Medicare & Medicaid Services on 2007-02-12.
As of what date were the details pertaining to Emerald Lake, Inc last refreshed?
The information related to the Emerald Lake, Inc, including its address, specialty, and other relevant details, was last updated on 2015-12-03.
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