| Organization Name: | MEDICAL WEST RESPIRATORY SERVICES, LLC |
| NPI Number: | 1457442907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL K LANE (DIRECTOR) |
| Mailing Address: | 1447 Us Highway 61 Suite C Crystal City |
| State: | MO US |
| Postal Code: | 63019 |
| Phone Number: | 6369377448 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 18411550 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |