Provider Demographics
NPI: | 1811785744 |
---|---|
Name: | RELATYV MOBILE MEDICAL LLC |
Entity type: | Organization |
Organization Name: | RELATYV MOBILE MEDICAL LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CONTRACT MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JANICE |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | COMPTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 830-832-9703 |
Mailing Address - Street 1: | 4140 E BASELINE RD STE 101 |
Mailing Address - Street 2: | |
Mailing Address - City: | MESA |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85206-4413 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 866-953-2175 |
Mailing Address - Fax: | 800-852-6567 |
Practice Address - Street 1: | 8516 165TH STREET CT E |
Practice Address - Street 2: | |
Practice Address - City: | PUYALLUP |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98375-6291 |
Practice Address - Country: | US |
Practice Address - Phone: | 866-953-2175 |
Practice Address - Fax: | 800-852-6567 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-04-29 |
Last Update Date: | 2025-04-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 246Z00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Group - Multi-Specialty |