Organization
WESTLAKE MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM OWEN (OWNER)
(540) 721-9013
Entity
Organization
Contact information
Practice address
13455 BOOKER T WASHINGTON HWY, SUITE 101, MONETA, VA 24121-6150
(540) 721-9013
(540) 721-9083
Mailing address
13455 BOOKER T WASHINGTON HWY, SUITE 101, MONETA, VA 24121-6150
(540) 721-9013
(540) 721-9083
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206009233
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138589
ANTHEM BC/BS NON-PAR
VA
Enumeration date
10/16/2006
Last updated
08/22/2020
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