Provider Demographics
NPI:1891123790
Name:ACADEMY MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:ACADEMY MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-382-9991
Mailing Address - Street 1:2400 N TENAYA WAY STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1424 E. FRANCIS ST.
Practice Address - Street 2:#A
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8301
Practice Address - Country:US
Practice Address - Phone:909-247-1398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-31
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies