Provider Demographics
NPI:1518925551
Name:MEDICAL INDUSTRY SERVICES INC
Entity Type:Organization
Organization Name:MEDICAL INDUSTRY SERVICES INC
Other - Org Name:NEB PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-891-5003
Mailing Address - Street 1:8170 W SAHARA AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1981
Mailing Address - Country:US
Mailing Address - Phone:702-891-5003
Mailing Address - Fax:702-891-5009
Practice Address - Street 1:8170 W SAHARA AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1981
Practice Address - Country:US
Practice Address - Phone:702-891-5003
Practice Address - Fax:702-891-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507731Medicaid
5604350001Medicare NSC