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Contact Information

GENESIS WOUND CARE OF LAS VEGAS, LLC
2410 FIRE MESA ST
SUITE 160
LAS VEGAS, NV89128-9016
 Phone: 702-518-1534
 Fax: 702-931-3944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GENESIS WOUND CARE OF LAS VEGAS, LLC

NPI Number 1750741740
LBN Legal business name GENESIS WOUND CARE OF LAS VEGAS, LLC
Authorized official JAMES O'DARE - (PRINICIPAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/03/2016
Last updated 03/03/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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