Provider Demographics
NPI:1487930848
Name:MOBILCARE MEDICAL, INC.
Entity type:Organization
Organization Name:MOBILCARE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-526-0202
Mailing Address - Street 1:5821 RANGELINE RD
Mailing Address - Street 2:BLDG 105
Mailing Address - City:THEODORE
Mailing Address - State:AL
Mailing Address - Zip Code:36582-5209
Mailing Address - Country:US
Mailing Address - Phone:251-443-9111
Mailing Address - Fax:251-443-9111
Practice Address - Street 1:6601 AIRPORT BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3705
Practice Address - Country:US
Practice Address - Phone:251-443-9111
Practice Address - Fax:251-633-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1009332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies