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DIABETIC LIFE SUPPLY, LLC.
NPI 1629264429
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since September 14, 2007
4270 S DECATUR BLVD, STE. B1-B, LAS VEGAS, NV 89103(702) 880-9500(702) 880-9507 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diabetic Life Supply, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIABETIC LIFE SUPPLY, LLC. (NPI 1629264429) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since September 2007. The organization lists Robert Edward Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629264429
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDIABETIC LIFE SUPPLY, LLC.
Location Address4270 S DECATUR BLVD, STE. B1-BLas Vegas, NV 89103-6802
Mailing Address4270 S Decatur Blvd, Ste. B1-bLas Vegas, NV 89103-6802 · (702) 880-9500 · Fax (702) 880-9507
Phone(702) 880-9500
Fax(702) 880-9507
Organization SubpartNo
Authorized OfficialRobert Edward MillerCeo · (702) 880-9500
Enumeration DateSeptember 14, 2007
Last NPPES UpdateJune 24, 2010
✔ NPI 1629264429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4270 S DECATUR BLVD, Las Vegas, NV 89103
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Other Identifiers 2

Medicare NSC6021670001NV
Medicaid100513194NV

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHEEN WAQAR AHMAD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4270 S DECATUR BLVD
LAS VEGAS, NV 89103
Clark County (702) 485-2100
ANDREW JOSEPH STIEBER
Nurse Practitioner (Psychiatric/Mental Health)
4270 S DECATUR BLVD
LAS VEGAS, NV 89103
Clark County (702) 485-2100
AUSTIN BRETT DEAN APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
4270 S DECATUR BLVD
LAS VEGAS, NV 89103
Clark County (702) 485-2100
MILESTONE DENTAL
Dentist
4270 S DECATUR BLVD, SUITE A2
LAS VEGAS, NV 89103
Clark County (702) 795-7771
CHRISTINE BARNETT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4270 S DECATUR BLVD
LAS VEGAS, NV 89103
Clark County (702) 485-2100
MRS. MICHELE RENEE FLORES APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
4270 S DECATUR BLVD
LAS VEGAS, NV 89103
Clark County (702) 485-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diabetic Life Supply, LLC.'s NPI number?

The NPI number for Diabetic Life Supply, LLC. is 1629264429. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Diabetic Life Supply, LLC. located?

Diabetic Life Supply, LLC. is located at 4270 S Decatur Blvd Ste. B1-B, Las Vegas, NV 89103. The listed phone number is (702) 880-9500.

What is Diabetic Life Supply, LLC.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Diabetic Life Supply, LLC. was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.