OrganizationActive
1st Medical Supply
NPI 1104091693 · Durable Medical Equipment & Medical Supplies · Las Vegas, NV
Provider details
- NPI number
- 1104091693
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Tatyana White, President
- License
- S20592 (NV)
Practice location
2725 S Jones Blvd
Suite 106
Las Vegas, NV 89146-5605
Phone: (702) 870-0853
Fax: (702) 870-2797
Mailing address
2725 S Jones Blvd
Las Vegas, NV 89146-5605
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2010-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.