Organization Active NPI

L&T Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1679585582
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
H13-00234-2-112206 Issued in NV
Legal business name
L&T MEDICAL SUPPLY
Practice address
6704 W Cheyenne Ave
Las Vegas, NV 89108-4588
Phone
(702) 658-8028
Fax
(702) 656-7394
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Florence Omowunmi Alaga
Title
President
Phone
(702) 658-8028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X H13002342112206 NV
Oxygen Equipment & Supplies (DME) 332BX2000X H13-00234-2-112206 NV Primary

Addresses

Primary practice location

6704 W Cheyenne Ave
Las Vegas, NV 89108-4588

Mailing address

6704 W Cheyenne Ave
Las Vegas, NV 89108-4588
Phone (702) 658-8028

Other identifiers 1

IdentifierTypeStateIssuer
100503791MedicaidNV

National Provider Directory

National Provider Directory

Locations

6704 W Cheyenne Ave
Las Vegas, NV 89108
Phone (702) 658-8028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1679585582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084588",
            "telephone_number": "702-658-8028",
            "fax_number": "702-656-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084588",
            "telephone_number": "702-658-8028",
            "fax_number": "702-656-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&T MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "ALAGA",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "OMOWUNMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-658-8028"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "H13002342112206",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "H13-00234-2-112206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503791",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.