Organization
MEDTEK SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. CONDOS (OWNER/OPERATOR)
(337) 244-3590
Entity
Organization
Contact information
Practice address
1 LAKESHORE DR, SUITE 1275, LAKE CHARLES, LA 70629-0100
(337) 494-3999
(337) 494-0086
Mailing address
P.O. BOX 383, LAKE CHARLES, LA 70602
(337) 494-3999
(337) 494-0086
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME.000298
LA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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