Organization Active NPI

Maryland Mobile Health LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1649015298
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jul 3, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.