Healthcare Provider Details

I. General information

NPI: 1932529286
Provider Name (Legal Business Name): AVIATION MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 HAPPY LN
LAS VEGAS NV
89120-2905
US

IV. Provider business mailing address

3675 HAPPY LN
LAS VEGAS NV
89120-2905
US

V. Phone/Fax

Practice location:
  • Phone: 702-498-6666
  • Fax:
Mailing address:
  • Phone: 702-498-6666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOSE GILBERTO NARANJO
Title or Position: CFO
Credential:
Phone: 702-498-6666