Organization Active NPI

Tobin Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1972912475
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NV20141499260 Issued in NV
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

Updated by the provider on Jan 13, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2157505OtherPK

Other names 1

  • Tobin Medical LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.