Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diabetic Life Supply, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1629264429

Diabetic Life Supply, LLC is a Durable Medical Equipment & Medical Supplies in Las Vegas, Nevada. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4270 S Decatur Blvd Ste B1-B
Las Vegas, NV 89103-6802
Phone: (702) 880-9500
Fax: (702) 880-9507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1629264429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Miller — Ceo · (702) 880-9500
NPI enumeratedSeptember 14, 2007
Last updated in NPPESJune 24, 2010
Mailing address4270 S Decatur Blvd, Ste. B1-B, Las Vegas, NV 89103-6802

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