Active NPI
Medtek Specialties
- Durable Medical Equipment & Medical Supplies
- Lake Charles, LA
National Provider Identifier
1891031225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DME.000298
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.