Provider Demographics
NPI:1760971600
Name:MOBILITY TRANSPORT SERVICES, LLC.
Entity Type:Organization
Organization Name:MOBILITY TRANSPORT SERVICES, LLC.
Other - Org Name:SAIL MTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-445-2558
Mailing Address - Street 1:120 STRYKER LN STE 303
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1931
Mailing Address - Country:US
Mailing Address - Phone:609-445-2556
Mailing Address - Fax:
Practice Address - Street 1:120 STRYKER LN STE 303
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844
Practice Address - Country:US
Practice Address - Phone:609-445-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ102859343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)