Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emerald Lake, Inc

Organization Oxygen Equipment & Supplies (DME) · NPI 1578605341

Emerald Lake, Inc is an Oxygen Equipment & Supplies (DME) in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Phone: (702) 678-6267
Fax: (702) 474-7051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X · Licence MP00814 (NV)

Record details

NPI number1578605341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelechi Agwara — Director · (702) 678-6267
Other names Emerald Medical Supplies
NPI enumeratedFebruary 12, 2007
Last updated in NPPESDecember 3, 2015
Mailing address5243 W Charleston Blvd Ste 9, Las Vegas, NV 89146-1304

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