Provider Demographics
NPI:1972852499
Name:AAA MOBILE REPAIR
Entity Type:Organization
Organization Name:AAA MOBILE REPAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGLARAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-340-1144
Mailing Address - Street 1:2550 E DESERT INN RD
Mailing Address - Street 2:SUITE #278
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3611
Mailing Address - Country:US
Mailing Address - Phone:702-340-1144
Mailing Address - Fax:702-215-6395
Practice Address - Street 1:2550 E DESERT INN RD
Practice Address - Street 2:SUITE #278
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3611
Practice Address - Country:US
Practice Address - Phone:702-340-1144
Practice Address - Fax:702-215-6395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000027-424332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies