212 Medical Supply
Durable Medical Equipment & Medical Supplies in Las Vegas, NV. Organization (NPI-2).
NPI number1942507249
StatusActive
Last updated in NPPESFeb 22, 2011
Details
- NPI
- 1942507249
- Entity type
- Organization (NPI-2)
- Legal business name
- 212 Medical Supply
- Organization subpart
- No
- Enumeration date
- Feb 22, 2011
- Last updated
- Feb 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
3651 Lindell Rd Ste D275Las Vegas, NV 89103-1254
Phone 702-932-9967
Mailing address
3651 Lindell Rd Ste D275Las Vegas, NV 89103-1254
Phone 702-932-9967
Authorized official
Joseph R Gillespie
President
8189746464
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