1st Medical Supply
Durable Medical Equipment & Medical Supplies in Las Vegas, NV. Organization (NPI-2).
NPI number1104091693
StatusActive
Last updated in NPPESOct 18, 2010
Details
- NPI
- 1104091693
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Medical Supply
- Organization subpart
- No
- Enumeration date
- Apr 25, 2008
- Last updated
- Oct 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | S20592 | NV |
Practice location
2725 S Jones BlvdSuite 106
Las Vegas, NV 89146-5605
Phone 702-870-0853 · Fax 702-870-2797
Mailing address
2725 S Jones BlvdSuite 106
Las Vegas, NV 89146-5605
Phone 702-870-0853 · Fax 702-870-2797
Authorized official
Tatyana V. White
President
7028700853
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