Provider Demographics
NPI:1922474873
Name:ABILITY GROUP DME LLC
Entity Type:Organization
Organization Name:ABILITY GROUP DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:ORDAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-645-7434
Mailing Address - Street 1:1314 W NATIONAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-2114
Mailing Address - Country:US
Mailing Address - Phone:414-645-7434
Mailing Address - Fax:414-645-7787
Practice Address - Street 1:1314 W NATIONAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-2114
Practice Address - Country:US
Practice Address - Phone:414-645-7434
Practice Address - Fax:414-645-7787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies