Organization
ISU INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUKA HUMPHREY EJIOFOR PH.D (PRESIDENT/ CEO)
(702) 459-7500
Entity
Organization
Contact information
Practice address
1745 N NELLIS BLVD STE C, LAS VEGAS, NV 89115-3673
(702) 459-7500
(702) 459-1176
Mailing address
1745 N NELLIS BLVD STE C, LAS VEGAS, NV 89115-3673
(702) 459-7500
(702) 459-1176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP00286
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506054
—
NV
01
—
5407420001
DMEPOS
NV
Enumeration date
11/02/2006
Last updated
12/21/2009
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