MEDICARE: METRO MEDICAL EQUIPMENT 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	332B00000X	Durable Medical Equipment & Medical Supplies	1000547469	NV

General Provider Information

NPI Number	:	1639277239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	3075 E FLAMINGO
Second Line	:	#116A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121
Country	:	US
Telephone Number	:	702-646-2002
Fax Number	:	702-646-2055

Provider Business Practice Location Address
First Line	:	3075 E FLAMINGO
Second Line	:	#116A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121
Country	:	US
Telephone Number	:	702-646-2002
Fax Number	:	702-646-2055

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JIM SIDES
Credential	:
Telephone Number	:	702-646-2002

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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