Provider Demographics
NPI:1578690335
Name:AMERICAN MOBILITY INC.
Entity Type:Organization
Organization Name:AMERICAN MOBILITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:LACROIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-794-3030
Mailing Address - Street 1:354 MERRIMACK STREET
Mailing Address - Street 2:SUITE 260
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1754
Mailing Address - Country:US
Mailing Address - Phone:978-794-3030
Mailing Address - Fax:978-738-9444
Practice Address - Street 1:354 MERRIMACK STREET
Practice Address - Street 2:SUITE 260
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1754
Practice Address - Country:US
Practice Address - Phone:978-794-3030
Practice Address - Fax:978-738-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA396354OtherBC BS MASSACHUSETTS
MA1540041Medicaid
MA4208910001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER