Organization
ECLIPSE DURABLE SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISADORIS OTANO GUTIERREZ (CEO)
(702) 912-9886
Entity
Organization
Contact information
Practice address
1650 E SAHARA AVE STE 2, LAS VEGAS, NV 89104-3495
(702) 573-2011
Mailing address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 912-9886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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