Emerald Medical Supplies

LBN: Emerald Lake, Inc
Emerald Medical Supplies is an health care organization with primary practice located at 5243 W Charleston Blvd Ste 9 , Las Vegas NV 89146-1304. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Emerald Lake, Inc can be contacted via phone (702) 678-6267, or through Agwara, Kelechi via phone (702) 678-6267.

Contact Information

Primary practice address
5243 W Charleston Blvd Ste 9 Las Vegas NV 89146-1304
Phone: (702) 678-6267
Fax: (702) 474-7051
Website:
Map and Directions
Authorized official contact:
Name: Agwara, Kelechi
Phone: (702) 678-6267

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X MP00814 Nevada

Profile Details

NPI number 1578605341
LBN Legal business name Emerald Lake, Inc
DBA Doing business as Emerald Medical Supplies
Authorized official Agwara, Kelechi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578605341 NPPES
Nevada MEDICAID 3302694

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