# MEDICAL WEST RESPIRATORY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457442907
- **Authorized official:** DANIEL K LANE JR. (DIRECTOR)
- **Authorized official phone:** (314) 993-8100

## Contact information

- **Practice address:** 1447 US HIGHWAY 61, SUITE C, CRYSTAL CITY, MO 63019
- **Practice address phone:** (636) 937-7448
- **Mailing address:** 9301 DIELMAN INDUSTRIAL DR, SAINT LOUIS, MO 63132-2204
- **Mailing address phone:** (314) 993-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 18411550 | MO | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 10/25/2007