Organization Active NPI

L.V. Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1699986547
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
L.V. MEDICAL SUPPLY
Practice address
4375 N.Las Vegas BLV #6
#6
Las Vegas, NV 89115
Phone
(702) 643-2948
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Olexiy KorshunNPI 1356533814
Title
Owner
Phone
(702) 643-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NV Primary

Addresses

Primary practice location

4375 N.Las Vegas BLV #6
#6
Las Vegas, NV 89115

Mailing address

4375 Las Vegas Blvd N Ste 6
Las Vegas, NV 89115-0587
Phone (702) 643-2648

National Provider Directory

National Provider Directory

Locations

4375 Las Vegas Blvd N
Ste 6
Las Vegas, NV 89115
Phone (702) 643-2548

4375 Las Vegas Blvd N
#66
Las Vegas, NV 89115
Phone (702) 643-2948

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699986547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 LAS VEGAS BLVD N STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150587",
            "telephone_number": "702-643-2648",
            "fax_number": "702-643-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 N.LAS VEGAS BLV #6",
            "address_2": "#6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89115",
            "telephone_number": "702-643-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.V. MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KORSHUN",
        "authorized_official_first_name": "OLEXIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-643-2548"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "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 21, 2022; 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.