Provider Demographics
NPI:1851457105
Name:MOBILE MEDICAL PARTS & SVC INC
Entity Type:Organization
Organization Name:MOBILE MEDICAL PARTS & SVC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-604-4737
Mailing Address - Street 1:33 POPLAR DRIVE
Mailing Address - Street 2:
Mailing Address - City:STIRLING
Mailing Address - State:NJ
Mailing Address - Zip Code:07980-1527
Mailing Address - Country:US
Mailing Address - Phone:908-604-4737
Mailing Address - Fax:908-604-4677
Practice Address - Street 1:33 POPLAR DRIVE
Practice Address - Street 2:
Practice Address - City:STIRLING
Practice Address - State:NJ
Practice Address - Zip Code:07980-1527
Practice Address - Country:US
Practice Address - Phone:908-604-4737
Practice Address - Fax:908-604-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0751350001Medicare ID - Type Unspecified