Active NPI
Tobin Medical LLC
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1972912475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- NV20141499260
- Legal business name
- TOBIN MEDICAL LLC
- Doing business as
- Tobin Medical LLC
- Practice address
- 4815 W Russell Rd Ste 1a
Las Vegas, NV 89118-6242 - Phone
- (702) 583-6192
- Fax
- (702) 637-7691
- NPI assigned
- Aug 8, 2014
- 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
- Cynthea Clark
- Title
- Owner
- Phone
- (702) 583-6192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NV20141499260 | NV | Primary |
Addresses
Primary practice location
4815 W Russell Rd Ste 1a
Las Vegas, NV 89118-6242
Mailing address
4815 W Russell Rd Ste 1a
Las Vegas, NV 89118-6242
Phone (702) 583-6192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157505 | Other | PK |
Other names 1
- Tobin Medical LLC
National Provider Directory
National Provider DirectoryLocations
4815 W Russell Rd
Ste 1A
Las Vegas, NV 89118
Phone (702) 583-6192
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1669806808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452643200000",
"number": "1972912475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 W RUSSELL RD STE 1A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891186242",
"telephone_number": "702-583-6192",
"fax_number": "702-637-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 W RUSSELL RD STE 1A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891186242",
"telephone_number": "702-583-6192",
"fax_number": "702-637-7691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOBIN MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-08",
"last_updated": "2016-01-13",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CYNTHEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-583-6192"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "NV20141499260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157505",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tobin Medical LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.