Provider Demographics
NPI:1912687872
Name:AB MEDICAL LLC
Entity Type:Organization
Organization Name:AB MEDICAL LLC
Other - Org Name:AB MEDICAL LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CORISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-844-8342
Mailing Address - Street 1:3111 S VALLEY VIEW BLVD STE F101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8332
Mailing Address - Country:US
Mailing Address - Phone:702-844-8342
Mailing Address - Fax:702-916-4517
Practice Address - Street 1:3111 S VALLEY VIEW BLVD STE F101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8332
Practice Address - Country:US
Practice Address - Phone:702-844-8342
Practice Address - Fax:702-916-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies