Provider Demographics
NPI:1114709854
Name:MOBILITY EQUIPMENT LABORATORIES
Entity Type:Organization
Organization Name:MOBILITY EQUIPMENT LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-483-7586
Mailing Address - Street 1:120 N VALLEY OAKS DR STE C
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-6724
Mailing Address - Country:US
Mailing Address - Phone:559-500-6541
Mailing Address - Fax:559-820-0400
Practice Address - Street 1:120 N VALLEY OAKS DR STE C
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-6724
Practice Address - Country:US
Practice Address - Phone:559-500-6541
Practice Address - Fax:559-820-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment