# PRIME ENTERPRISE ALPHA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174477160
- **Authorized official:** VIKAS SHARMA MLT (DIRECTOR)
- **Authorized official phone:** (813) 726-5830

## Contact information

- **Practice address:** 3685 N IVANHOE AVE, FRESNO, CA 93722-3726
- **Practice address phone:** (813) 726-5830
- **Practice address fax:** (813) 726-5830
- **Mailing address:** 6 STATE RD STE 114, MECHANICSBURG, PA 17050-7934
- **Mailing address phone:** (813) 726-5830
- **Mailing address fax:** (813) 726-5830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291U00000X | Clinical Medical Laboratory | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2026
- **Last updated:** 05/20/2026