Organization · Type 2 NPI
Emerald Lake, Inc
Oxygen Equipment & Supplies (DME) · Las Vegas, NV
NPI number
1578605341
Active
Practice location
5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Fax (702) 474-7051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | MP00814 (NV) |
Oxygen Equipment & Supplies (DME): Definition to come...
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About NPI 1578605341
Emerald Lake, Inc's National Provider Identifier is 1578605341, issued on Feb 12, 2007. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 3, 2015.