Provider Demographics
NPI:1902211220
Name:M. C. MOBILITY SYSTEMS INC.
Entity Type:Organization
Organization Name:M. C. MOBILITY SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATERNITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-951-4335
Mailing Address - Street 1:7588 TYLER BLVD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4871
Mailing Address - Country:US
Mailing Address - Phone:440-951-4335
Mailing Address - Fax:
Practice Address - Street 1:214 VALLEY ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1839
Practice Address - Country:US
Practice Address - Phone:937-222-5001
Practice Address - Fax:937-222-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0717728Medicaid