Provider Demographics
NPI:1164754388
Name:MED-MOBILITY,LLC
Entity Type:Organization
Organization Name:MED-MOBILITY,LLC
Other - Org Name:MED-MOBILITY,LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELSAIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-654-1898
Mailing Address - Street 1:5249 RED HAWK PKWY
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-5348
Mailing Address - Country:US
Mailing Address - Phone:303-654-1898
Mailing Address - Fax:720-685-7838
Practice Address - Street 1:5249 RED HAWK PKWY
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-5348
Practice Address - Country:US
Practice Address - Phone:303-654-1898
Practice Address - Fax:720-685-7838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COB-9919343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)