MEDICARE: BLUEAXIS 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	:	1427905314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUEAXIS LLC

Provider Business Mailing Address
First Line	:	4760 S PECOS RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5828
Country	:	US
Telephone Number	:	725-977-4399
Fax Number	:

Provider Business Practice Location Address
First Line	:	4760 S PECOS RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5828
Country	:	US
Telephone Number	:	725-977-4399
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MOINUDDIN SYED
Credential	:
Telephone Number	:	725-977-4399

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “BLUEAXIS LLC ” Practice Location

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