Organization
MT MEDICAL SUPPLIES
Active
Organization
MT MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JEFFERSON MERIDETH (PARTNER)
(702) 396-8423
Entity
Organization
Contact information
Practice address
2451 N RAINBOW BLVD, UNIT 1097, LAS VEGAS, NV 89108-4502
(702) 396-8423
Mailing address
2451 N RAINBOW BLVD, UNIT 1097, LAS VEGAS, NV 89108-4502
(702) 396-8423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
H13002994131149
NV
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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