1St Medical Supply

Organization Active NPI Durable Medical Equipment & Medical Supplies · Las Vegas, NV

NPI 1104091693 · NPPES record last updated Oct 18, 2010

Key facts

NPI
1104091693
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
1ST MEDICAL SUPPLY
Practice address
2725 S Jones Blvd
Suite 106
Las Vegas, NV 89146-5605
Phone
(702) 870-0853
Fax
(702) 870-2797
NPI assigned
Apr 25, 2008
Organization subpart
No

Authorized official

Name
Ms. Tatyana V. White
Title
President
Phone
(702) 870-0853

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Prosthetic/Orthotic Supplier 335E00000X S20592 NV

Addresses

Primary practice location

2725 S Jones Blvd
Suite 106
Las Vegas, NV 89146-5605

Mailing address

2725 S Jones Blvd
Suite 106
Las Vegas, NV 89146-5605
Phone (702) 870-0853

Other identifiers

IdentifierTypeStateIssuer
S20592OtherNVFACILITY ACCREDITATION

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Durable Medical Equipment & Medical Supplies in Nevada

Sources for this page

Verify at the official NPI Registry.