Organization
DIVERSIFIED MEDICAL DISTRIBUTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMEEN RASTINEHAD BSBA (MANAGER)
(800) 348-6337
Entity
Organization
Contact information
Practice address
3035 E PATRICK LN, STE # 1, LAS VEGAS, NV 89120-4930
(866) 660-0567
(866) 425-6020
Mailing address
3035 E PATRICK LN, STE # 1, LAS VEGAS, NV 89120-4930
(866) 660-0567
(866) 425-6020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP00275
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192495
STATE OF NV BUSINESS LIC
NV
01
—
37533
ACCREDITATION COMMISSION FOR HEALTH CARE, INC.
—
Enumeration date
03/01/2007
Last updated
10/21/2010
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