DIABETIC LIFE ACADEMY LLC NPI 1861701062

NPI Information

NPI: 1861701062
Provider Name: DIABETIC LIFE ACADEMY, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4270 S. DECATUR BLVD.
SUITE B-1B
LAS VEGAS, NV
ZIP 89103
Phone: (702) 880-9500
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DIABETIC LIFE ACADEMY, LLC is a durable medical equipment medical supplies in Las Vegas, NV. The provider is 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. DIABETIC LIFE ACADEMY, LLC NPI is 1861701062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4270 S. DECATUR BLVD.
SUITE B-1B
LAS VEGAS, NV
ZIP 89103-800
Phone: (702) 880-9500
Fax: (702) 880-9507

The provider's authorized official is Brandy Lynn Mosley .
The authorized official title is Office Manager/compliance Officer and has the following contact phone number (702) 880-9500.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 1/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	133V00000X	Dietitian, Registered	2061-0219	NEVADA	No
2	305S00000X	Point of Service	2061-0219	NEVADA	No
3	332B00000X	Durable Medical Equipment & Medical Supplies	2000394-810	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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