Organization Active NPI

Medtek Specialties

  • Durable Medical Equipment & Medical Supplies
  • Lake Charles, LA
National Provider Identifier
1891031225
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME.000298 Issued in LA
Legal business name
MEDTEK SPECIALTIES
Practice address
1 Lakeshore Dr
Suite 1275
Lake Charles, LA 70629-0100
Phone
(337) 494-3999
Fax
(337) 494-0086
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
John R. Condos
Title
Owner/Operator
Phone
(337) 244-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DME.000298 LA Primary

Addresses

Primary practice location

1 Lakeshore Dr
Suite 1275
Lake Charles, LA 70629-0100

Mailing address

P.O. Box 383
Lake Charles, LA 70602
Phone (337) 494-3999

National Provider Directory

National Provider Directory

Locations

1 Lakeshore Dr
Ste 1275
Lake Charles, LA 70629
Phone (337) 494-3999

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1891031225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 383",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70602",
            "telephone_number": "337-494-3999",
            "fax_number": "337-494-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DR",
            "address_2": "SUITE 1275",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706290100",
            "telephone_number": "337-494-3999",
            "fax_number": "337-494-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEK SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "CONDOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "337-244-3590"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "DME.000298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.