Provider Demographics
NPI:1063850279
Name:TYCON MOBILITY, LLC
Entity Type:Organization
Organization Name:TYCON MOBILITY, LLC
Other - Org Name:HAMPTON ROADS MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SMYTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-640-1709
Mailing Address - Street 1:2806 BUILD AMERICA DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3226
Mailing Address - Country:US
Mailing Address - Phone:757-848-5884
Mailing Address - Fax:
Practice Address - Street 1:2806 BUILD AMERICA DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3226
Practice Address - Country:US
Practice Address - Phone:757-848-5884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment