Healthcare Provider Details

I. General information

NPI: 1497680045
Provider Name (Legal Business Name): PRIME MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N WELLS AVE UNIT 150B
WEST WENDOVER NV
89883-4882
US

IV. Provider business mailing address

915 N WELLS AVE UNIT 150B
WEST WENDOVER NV
89883-4882
US

V. Phone/Fax

Practice location:
  • Phone: 385-492-0375
  • Fax: 385-492-0375
Mailing address:
  • Phone: 385-492-0375
  • Fax: 385-492-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANITA SUNDHO
Title or Position: OWNER
Credential:
Phone: 385-492-0375