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NPI Code Detail

MEDICARE: BAGZALL LLC

MEDICARE: BAGZALL 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1457222572
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAGZALL LLC
Provider Business Mailing Address
First Line : 1516 E TROPICANA AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6526
Country : US
Telephone Number : 929-410-5754
Fax Number :
Provider Business Practice Location Address
First Line : 1516 E TROPICANA AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6526
Country : US
Telephone Number : 929-410-5754
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HESTON RENKEN
Credential :
Telephone Number : 929-410-5754
Provider Enumeration Date : 09/12/2025
Last Update Date : 09/12/2025

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Directions to “BAGZALL LLC ” Practice Location

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