Organization Name: | WESTLAKE MEDICAL EQUIPMENT, LLC |
NPI Number: | 1942380068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM OWEN (OWNER) |
Mailing Address: | 13455 Booker T Washington Hwy Suite 101 Moneta |
State: | VA US |
Postal Code: | 241216150 |
Phone Number: | 5407219013 |
Fax Number: | 5407219083 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0206009233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |