Provider Demographics
NPI:1447796974
Name:CPAP STORE LAS VEGAS
Entity Type:Organization
Organization Name:CPAP STORE LAS VEGAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:MURADYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-485-1847
Mailing Address - Street 1:4533 W SAHARA AVE
Mailing Address - Street 2:UNIT 4
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3675
Mailing Address - Country:US
Mailing Address - Phone:702-485-1847
Mailing Address - Fax:
Practice Address - Street 1:4533 W SAHARA AVE
Practice Address - Street 2:UNIT 4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3675
Practice Address - Country:US
Practice Address - Phone:702-485-1847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-08
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies