Provider Demographics
NPI:1710011523
Name:ABILITY MEDICAL INC
Entity Type:Organization
Organization Name:ABILITY MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-363-6017
Mailing Address - Street 1:2502 MOUNT MORIAH RD
Mailing Address - Street 2:SUITE A148
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-1510
Mailing Address - Country:US
Mailing Address - Phone:901-363-6017
Mailing Address - Fax:901-546-7663
Practice Address - Street 1:2502 MOUNT MORIAH RD
Practice Address - Street 2:SUITE A148
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-1510
Practice Address - Country:US
Practice Address - Phone:901-363-6017
Practice Address - Fax:901-546-7663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000874332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies