Mt Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

H13002994131149 Issued in NV

Legal business name

MT MEDICAL SUPPLIES

Practice address

2451 N Rainbow Blvd
Unit 1097
Las Vegas, NV 89108-4502

Phone

(702) 396-8423

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Jefferson Merideth

Title

Partner

Phone

(702) 396-8423

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568532356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N RAINBOW BLVD",
            "address_2": "UNIT 1097",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084502",
            "telephone_number": "702-396-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 N RAINBOW BLVD",
            "address_2": "UNIT 1097",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084502",
            "telephone_number": "702-396-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON MERIDETH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-396-8423"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "H13002994131149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.