# OZOMOR MEDICAL SUPPLIES

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

## Provider details

- **NPI number:** 1720306889
- **Authorized official:** MR. EMMANUEL MOMATE BIABENE (ADMINISTRATOR)
- **Authorized official phone:** (702) 629-6845

## Contact information

- **Practice address:** 4481 W. RENO AVE, LAS VEGAS, NV 89118
- **Practice address phone:** (702) 629-6845
- **Practice address fax:** (702) 629-5054
- **Mailing address:** 4481 W. RENO AVE, LAS VEGAS, NV 89118
- **Mailing address phone:** (702) 629-6845
- **Mailing address fax:** (702) 629-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NV | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 11/17/2015