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NPI Code Detail

MEDICARE: UNILIFE MEDICAL SUPPLY, LLC

MEDICARE: UNILIFE MEDICAL SUPPLY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies2000015424NV

General Provider Information

NPI Number : 1083821813
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNILIFE MEDICAL SUPPLY, LLC
Provider Business Mailing Address
First Line : 3950 E SUNSET RD STE 116
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4906
Country : US
Telephone Number : 702-897-7070
Fax Number : 702-647-1142
Provider Business Practice Location Address
First Line : 3950 E SUNSET RD STE 116
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4906
Country : US
Telephone Number : 702-897-7070
Fax Number : 702-647-1142
Authorized Official
Title or Position : PRESIDENT
Name : MRS. STELLA O. UTOMI
Credential :
Telephone Number : 702-897-7070
Provider Enumeration Date : 05/17/2007
Last Update Date : 08/22/2020

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Directions to “UNILIFE MEDICAL SUPPLY, LLC ” Practice Location

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