Active NPI
Maryland Mobile Health LLC
- Clinic/Center
- Las Vegas, NV
National Provider Identifier
1649015298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MARYLAND MOBILE HEALTH LLC
- Practice address
- 3909 S Maryland Pkwy
Ste 414
Las Vegas, NV 89119 - Phone
- (702) 389-3444
- Fax
- (702) 714-1720
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roman Zakaryan
- Title
- Authorized Official
- Phone
- (702) 389-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3909 S Maryland Pkwy
Ste 414
Las Vegas, NV 89119
Mailing address
3909 S Maryland Pkwy
Ste 414
Las Vegas, NV 89119
Phone (702) 389-3444
National Provider Directory
National Provider DirectoryLocations
3909 S Maryland Pkwy
Ste 414
Las Vegas, NV 89119
Phone (702) 389-3444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1649015298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 S MARYLAND PKWY",
"address_2": "STE 414",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-389-3444",
"fax_number": "702-714-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 S MARYLAND PKWY",
"address_2": "STE 414",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-389-3444",
"fax_number": "702-714-1720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND MOBILE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "ZAKARYAN",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "702-389-3444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.