Organization
LAVA ENTERPRISES INC.
Active
Other names
Lava Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR MARTIROSIAN (MANAGER)
(808) 330-5364
Entity
Organization
Contact information
Practice address
86-213 KUWALE RD., WAIANAE, HI 96792
(808) 696-9488
(808) 537-4195
Mailing address
86-213 KUWALE RD., WAIANAE, HI 96792
(808) 696-9488
(808) 537-4195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53441302
—
HI
Enumeration date
10/03/2006
Last updated
08/22/2020
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