Organization
DME OF LAS VEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY MCINTOSH (MANAGER)
(866) 332-2330
Entity
Organization
Contact information
Practice address
4133 MANTLE AVE, NORTH LAS VEGAS, NV 89084-2653
(866) 332-2330
Mailing address
4904 CAMINO AL NORTE # 336241, NORTH LAS VEGAS, NV 89031-9995
(866) 332-2330
(702) 202-3668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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