Provider Demographics
NPI:1710065347
Name:IRONSIDES MOBILITY SYSTEMS, INC
Entity Type:Organization
Organization Name:IRONSIDES MOBILITY SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:STIGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-279-5855
Mailing Address - Street 1:1057 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-279-5855
Mailing Address - Fax:301-340-6566
Practice Address - Street 1:1057 FIRST STREET
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-279-5855
Practice Address - Fax:301-340-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD15216637OtherSALES AND SERVICES