Lescano, Joseph L

Lescano, Joseph L, doing business as Medquest Medical Supply, is a sole proprietorship based in Tamuning, Guam that supplies durable medical equipment, prosthetics, and home oxygen services to the Department of Veterans Affairs as a prime contractor, operating entirely without set-aside designations across a full-and-open competitive posture.

Medquest's customer footprint is heavily concentrated with the Veterans Integrated Service Network 21 (VISN 21), which accounts for 180 of 186 prime awards (99% of award count) and $8.8 million of the $8.8 million combined potential value. The remaining four awards span the Department of Veterans Affairs Headquarters, the Defense Health Agency, and the Department of the Navy Bureau of Medicine and Surgery. Medquest holds two significant indefinite-delivery contracts with VISN 21: a $3 million IDC for home oxygen services running through August 2026 and a $267 thousand IDC for durable medical equipment services. Task orders flowing from a parent IDC (36C26121D0094) total 39 orders with $2.4 million in combined potential value. Recent work includes a $19 thousand prosthetics transfer seating system purchase order awarded September 1, 2026, a $172 thousand delivery order for November 2024–January 2025 home oxygen services in Guam and American Samoa (awarded February 26, 2025), and a $32 thousand modular ramp purchase order (awarded March 14, 2025). Prosthetics-related purchase orders for mobility devices—ramps, lifts, and stairlifts—recur across the award history alongside recurring monthly home oxygen delivery orders.

Medquest's work falls primarily under NAICS codes for home health equipment rental (46 awards), all other health and personal care stores (44 awards), surgical appliance and supplies manufacturing (34 awards), and surgical and medical instrument manufacturing (33 awards), with performance concentrated across Guam, American Samoa, and select mainland VA facilities in Hawaii and California. The PSC profile is dominated by Medical and Surgical Instruments, Equipment, and Supplies (176 of 186 awards). Activity has been stable to declining: 15 awards in 2022, 19 in 2023, 14 in 2024, dropping to 4 in 2025 and 2 in 2026 through September. Only one award with a combined potential value of $19 thousand reaches ultimate completion within the next twenty-four months, representing limited recompete exposure in the near term. Medquest operates as a 100% prime contractor with no subcontract footprint and does not participate in government-wide IDIQs or GWACs; all work flows through single-award or task-order vehicles with VISN 21.