Provider Demographics
NPI:1033724109
Name:MOBILITY HEALTH, LLC
Entity Type:Organization
Organization Name:MOBILITY HEALTH, LLC
Other - Org Name:MOBILITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:256-783-2874
Mailing Address - Street 1:5155 FINANCIAL WAY STE 15
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7507
Mailing Address - Country:US
Mailing Address - Phone:513-770-0870
Mailing Address - Fax:
Practice Address - Street 1:5155 FINANCIAL WAY STE 15
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-0055
Practice Address - Country:US
Practice Address - Phone:513-972-4621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory