Healthcare Provider Details

I. General information

NPI: 1942474812
Provider Name (Legal Business Name): GABEL DISTRIBUTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7165 S BUFFALO DR STE 125
LAS VEGAS NV
89113-4123
US

IV. Provider business mailing address

9811 W CHARLESTON BLVD SUITE 2638
LAS VEGAS NV
89117
US

V. Phone/Fax

Practice location:
  • Phone: 702-640-0113
  • Fax: 888-545-6251
Mailing address:
  • Phone: 435-901-3369
  • Fax: 702-982-0450

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. ANDREW ALEXANDER GABEL
Title or Position: PRESIDENT
Credential:
Phone: 435-901-3369