MEDICARE: RNM 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1316215627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RNM MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	8275 S EASTERN AVE
Second Line	:	SUITE 200-424
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2591
Country	:	US
Telephone Number	:	702-951-5727
Fax Number	:	702-990-8681

Provider Business Practice Location Address
First Line	:	8275 S EASTERN AVE
Second Line	:	SUITE 200-424
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2591
Country	:	US
Telephone Number	:	702-951-5727
Fax Number	:	702-990-8681

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TIMOTHY PASONSKI
Credential	:
Telephone Number	:	404-408-7898

Provider Enumeration Date	:	12/01/2011
Last Update Date	:	06/06/2012

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