MEDICARE: ARIA MEDICAL

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	:	1548293608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA MEDICAL

Provider Business Mailing Address
First Line	:	9215 AVON PARK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-0175
Country	:	US
Telephone Number	:	702-408-5862
Fax Number	:

Provider Business Practice Location Address
First Line	:	9215 AVON PARK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-0175
Country	:	US
Telephone Number	:	702-408-5862
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ALEGRIA PHANKONSY
Credential	:
Telephone Number	:	702-408-5862

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	08/22/2020

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Directions to “ARIA MEDICAL ” Practice Location

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