Provider Demographics
NPI:1144237256
Name:SECURE MOBILITY, L.L.C.
Entity Type:Organization
Organization Name:SECURE MOBILITY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-855-9964
Mailing Address - Street 1:37098 CAMELOT DR APT 4
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312
Mailing Address - Country:US
Mailing Address - Phone:586-855-9964
Mailing Address - Fax:586-446-9749
Practice Address - Street 1:52188 VAN DYKE AVE STE 305
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316
Practice Address - Country:US
Practice Address - Phone:586-855-9964
Practice Address - Fax:586-446-9749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies