Organization · Type 2 NPI

Source One Medical Inc

Durable Medical Equipment & Medical Supplies · Las Vegas, NV

NPI number 1679736888 Active

Practice location

6280 S Valley View Blvd, Suite 220
Las Vegas, NV 89118-3809

Fax (888) 845-0838

Mailing address

38 Tesla, Suite 150
Irvine, CA 92618-4670

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

4 other providers at this address

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About NPI 1679736888

Source One Medical Inc's National Provider Identifier is 1679736888, issued on Jul 8, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 8, 2008.