Provider Demographics
NPI:1063512952
Name:ALL ABOUT MEDICAL SUPPLIES, LLC
Entity type:Organization
Organization Name:ALL ABOUT MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORK
Authorized Official - Middle Name:
Authorized Official - Last Name:NENEDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-262-2309
Mailing Address - Street 1:14625 N DEL WEBB BLVD STE 36
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-2144
Mailing Address - Country:US
Mailing Address - Phone:623-262-2309
Mailing Address - Fax:623-584-2723
Practice Address - Street 1:14625 N. DEL WEBB BLVD SUITE 36
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-262-2309
Practice Address - Fax:623-584-2723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5778330001Medicare NSC