Organization
DESTINY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENOBONG PETER (OWNER)
(702) 452-0808
Entity
Organization
Contact information
Practice address
3300 S JONES BLVD, SUITE 102, LAS VEGAS, NV 89146-6787
(702) 452-0808
Mailing address
3300 S JONES BLVD, SUITE 102, LAS VEGAS, NV 89146-6787
(702) 452-0808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP00590
NV
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up