EMERALD MEDICAL SUPPLY
NPI 1295956233
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Q: What is Emerald Lake, Inc's NPI number?

The NPI number for Emerald Lake, Inc is 1295956233. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Emerald Medical Supply.

Q: What is Emerald Lake, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Emerald Lake, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007

500 S MARTIN L KING BLVD STE D, LAS VEGAS, NV 89106(702) 678-6776(702) 678-6661 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Emerald Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD MEDICAL SUPPLY (NPI 1295956233) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization lists Marcel Ezeoke, Manager, as its authorized official.

NPPES Registry Identity

NPI1295956233

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameEMERALD LAKE, INC

Location Address500 S MARTIN L KING BLVD STE DLas Vegas, NV 89106-4424

Mailing Address500 S Martin L King Blvd Ste DLas Vegas, NV 89106-4424 · (702) 678-6776 · Fax (702) 678-6661

Phone(702) 678-6776

Fax(702) 678-6661

Organization SubpartNo

Authorized OfficialMarcel EzeokeManager · (702) 678-6776

Enumeration DateMay 1, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1295956233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

500 S MARTIN L KING BLVD STE D, Las Vegas, NV 89106

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Other Names 1

Doing Business AsEmerald Medical Supply

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERALD LAKE, I NC

Pharmacy (Community/Retail Pharmacy)

500 S MARTIN L KING BLVD STE D
LAS VEGAS, NV 89106

Clark County (702) 678-6776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Lake, Inc's NPI number?

The NPI number for Emerald Lake, Inc is 1295956233. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Emerald Medical Supply.

Where is Emerald Lake, Inc located?

Emerald Lake, Inc is located at 500 S Martin L King Blvd Ste D, Las Vegas, NV 89106. The listed phone number is (702) 678-6776.

What is Emerald Lake, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Emerald Lake, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.