Healthcare Provider Details

I. General information

NPI: 1528665866
Provider Name (Legal Business Name): EVERYTHING MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 10/08/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 W CHARLESTON BLVD STE 2
LAS VEGAS NV
89102-2337
US

IV. Provider business mailing address

PO BOX 33958
LAS VEGAS NV
89133-3958
US

V. Phone/Fax

Practice location:
  • Phone: 702-366-1111
  • Fax: 702-366-9337
Mailing address:
  • Phone: 702-366-1111
  • Fax: 702-366-9337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY KELEMEN
Title or Position: OWNER
Credential:
Phone: 702-366-1111