Provider Demographics
NPI:1376742866
Name:AM MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:AM MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMENAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-650-2749
Mailing Address - Street 1:4110 S MARYLAND PKWY STE 25
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-7505
Mailing Address - Country:US
Mailing Address - Phone:702-650-2749
Mailing Address - Fax:702-650-2749
Practice Address - Street 1:4110 S MARYLAND PKWY STE 25
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7505
Practice Address - Country:US
Practice Address - Phone:702-650-2749
Practice Address - Fax:702-650-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00419332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies