Provider Demographics
NPI:1831537133
Name:A NEW DAY MEDICAL LLC
Entity type:Organization
Organization Name:A NEW DAY MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-654-0065
Mailing Address - Street 1:1911 LOSEE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-1103
Mailing Address - Country:US
Mailing Address - Phone:702-654-0065
Mailing Address - Fax:702-654-6759
Practice Address - Street 1:1911 LOSEE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-1103
Practice Address - Country:US
Practice Address - Phone:702-654-0065
Practice Address - Fax:702-654-6759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20131300663332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV20131300663OtherSTATE BUSINESS LICENSE