A-GRAV 1 LLC NPI 1982947701

NPI Information

NPI: 1982947701
Provider Name: A-GRAV 1 LLC

Doing Business As: MOON WALK CARDIO

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
365 E WINDMILL LN
LAS VEGAS, NV
ZIP 89123
Phone: (702) 675-3569
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A-GRAV 1 LLC is a health service clinic center in Las Vegas, NV. A-GRAV 1 LLC NPI is 1982947701. The provider is registered as an organization entity type.
The provider Is Doing Business As Moon Walk Cardio.

The provider's business location address is:

365 E WINDMILL LN
LAS VEGAS, NV
ZIP 89123-807
Phone: (702) 675-3569
Fax: (702) 701-9413

The provider's authorized official is Dennis Lavern Dubois .
The authorized official title is Managing Member and has the following contact phone number (702) 373-8151.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 3/29/2013.

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	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy			No
2	261QH0100X	Clinic/Center	Health Service			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: 11/14/2023

NPI Synchronization or Removal

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