Organization
PLATINUM MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIZEL TRINIDAD JACOBSEN RT (ADMINISTRATOR)
(702) 601-8456
Entity
Organization
Contact information
Practice address
6000 S EASTERN AVE STE 1B, LAS VEGAS, NV 89119-3125
(702) 476-5597
(702) 442-8797
Mailing address
6000 S EASTERN AVE # 1B, LAS VEGAS, NV 89119-3125
(702) 476-5597
(702) 442-8797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/02/2021
Last updated
07/28/2022
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