Organization
CLEARCHOICE DME LLC
Active
Parent organization
TRIAD RESPIRATORY SOLUTION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD RESPIRATORY SOLUTION INC
Authorized official
MR. LYLE NEWSOME (OWNER CEO)
(336) 774-6500
Entity
Organization
Contact information
Practice address
544 E STUART DR, SUITE C, GALAX, VA 24333-2231
(276) 238-0202
(276) 238-1220
Mailing address
544 E STUART DR, SUITE C, GALAX, VA 24333-2231
(276) 238-0202
(276) 238-1220
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
001464
VA
Other
Enumeration date
06/02/2009
Last updated
06/07/2010
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