MEDICARE: MEDICAL INDUSTRY SERVICES INC.

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	2279E1000X	Educational Registered Respiratory Therapist	RC2078	NV

General Provider Information

NPI Number	:	1629358338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL INDUSTRY SERVICES INC.

Provider Business Mailing Address
First Line	:	8170 W SAHARA AVE
Second Line	:	SUITE 106
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2067
Country	:	US
Telephone Number	:	702-891-5003
Fax Number	:	702-891-5009

Provider Business Practice Location Address
First Line	:	8170 W SAHARA AVE
Second Line	:	SUITE 106
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2067
Country	:	US
Telephone Number	:	702-891-5003
Fax Number	:	702-891-5009

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THERESA MYERS
Credential	:
Telephone Number	:	702-891-5003

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	08/27/2014

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