Organization · Type 2 NPI
Diabetic Life Academy, LLC
Durable Medical Equipment & Medical Supplies · Las Vegas, NV
NPI number
1861701062
Active
Practice location
4270 S. Decatur Blvd., Suite B-1B
Las Vegas, NV 89103-6800
Fax (702) 880-9507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | 2061-0219 (NV) |
| Point of Service | 305S00000X | 2061-0219 (NV) |
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 2000394-810 (NV) |
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.
Another provider at this address
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About NPI 1861701062
Diabetic Life Academy, LLC's National Provider Identifier is 1861701062, issued on Oct 5, 2010. 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 Jan 14, 2011.