Provider Demographics
NPI:1649662271
Name:MED MOBILITY LLC
Entity type:Organization
Organization Name:MED MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELSAIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-247-9666
Mailing Address - Street 1:16831 W STATLER ST
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-1542
Mailing Address - Country:US
Mailing Address - Phone:623-247-9666
Mailing Address - Fax:
Practice Address - Street 1:16831 W STATLER ST
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-1542
Practice Address - Country:US
Practice Address - Phone:623-247-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MED MOBILITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)