Provider Demographics
| NPI: | 1437947439 |
|---|---|
| Name: | RELATYV MOBILE MEDICAL LLC |
| Entity type: | Organization |
| Organization Name: | RELATYV MOBILE MEDICAL LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CONTRACTING |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JANICE |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | COMPTON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 830-832-9703 |
| Mailing Address - Street 1: | 4140 E BASELINE RD STE 101 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MESA |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85206-4413 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 866-953-2175 |
| Mailing Address - Fax: | 800-852-6567 |
| Practice Address - Street 1: | 26550 MIDDLETON RD # 83644 |
| Practice Address - Street 2: | |
| Practice Address - City: | MIDDLETON |
| Practice Address - State: | ID |
| Practice Address - Zip Code: | 83644-5026 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 866-953-2174 |
| Practice Address - Fax: | 800-852-6567 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-04-29 |
| Last Update Date: | 2025-04-29 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 246Z00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Group - Multi-Specialty |