NPI 1013807361
Centennial Medical Group LLP
Practice location
- Address
- 4050 E Russell Rd STE 100, Las Vegas, NV 89120-3810
- Phone
- (702) 893-1203
- Mailing address
- 4454 N Decatur Blvd, Las Vegas, NV 89130-5286
Authorised official
- Name
- Kellie Merrill
- Title
- Director of Billing
- Phone
- (702) 839-1203
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1013807361
- Entity type
- Organization
- NPI issued
- 8 Jul 2025
- Record last updated
- 8 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.