OrganizationActive
Emerald Lake, Inc
NPI 1578605341 · Oxygen Equipment & Supplies (DME) · Las Vegas, NV
Provider details
- NPI number
- 1578605341
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kelechi Agwara, Director(702) 678-6267
- License
- MP00814 (NV)
Specialties & taxonomies
Suppliers
Practice location
5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Phone: (702) 678-6267
Fax: (702) 474-7051
Approximate (ZIP-level) locationGet directions
Mailing address
5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Other names (DBA / former)
- Doing business as
- Emerald Medical Supplies
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2015-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.