Provider Demographics
NPI:1558017749
Name:MOBILITY REPAIR SPECIALISTS INC
Entity Type:Organization
Organization Name:MOBILITY REPAIR SPECIALISTS INC
Other - Org Name:NOVA DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-552-0642
Mailing Address - Street 1:570 CENTRAL AVE STE J2
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-2741
Mailing Address - Country:US
Mailing Address - Phone:951-498-3553
Mailing Address - Fax:951-498-3577
Practice Address - Street 1:570 CENTRAL AVE STE J2
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-2741
Practice Address - Country:US
Practice Address - Phone:951-498-3553
Practice Address - Fax:951-498-3577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies