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SE MEDICAL SUPPLY
NPI 1689382608
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since November 08, 2022
5220 FOGGIA AVE, LAS VEGAS, NV 89130(702) 330-6693 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Se Medical Supply NPPES

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

SE MEDICAL SUPPLY (NPI 1689382608) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since November 2022. The organization lists Andre Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1689382608
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSE MEDICAL SUPPLY
Location Address5220 FOGGIA AVELas Vegas, NV 89130-7059
Mailing Address5220 Foggia AveLas Vegas, NV 89130-7059 · (702) 330-6693
Phone(702) 330-6693
Organization SubpartNo
Authorized OfficialAndre WilliamsOwner · (702) 330-6693
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1689382608 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.
5220 FOGGIA AVE, Las Vegas, NV 89130
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Other Names 1

Former Legal Business NameSe Medical Supply

Other Providers at the Same Location NPPES

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

MLA SERVICES
Community/Behavioral Health
5220 FOGGIA AVE
LAS VEGAS, NV 89130
Clark County (702) 330-6693

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 SE Medical Supply's NPI number?

The NPI number for SE Medical Supply is 1689382608. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is SE Medical Supply located?

SE Medical Supply is located at 5220 Foggia Ave, Las Vegas, NV 89130. The listed phone number is (702) 330-6693.

What is SE Medical Supply'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 SE Medical Supply was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.