MEDICARE: DME-Z, 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	:	1689266595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DME-Z, LLC

Provider Business Mailing Address
First Line	:	7365 PRAIRIE FALCON RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7365 PRAIRIE FALCON RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0808
Country	:	US
Telephone Number	:	702-469-9652
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS FALLON
Credential	:
Telephone Number	:	702-469-9652

Provider Enumeration Date	:	02/11/2021
Last Update Date	:	02/11/2021

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