Provider Demographics
NPI:1881705960
Name:THE MOBILITY COMPANY INC
Entity type:Organization
Organization Name:THE MOBILITY COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAUDERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-692-0460
Mailing Address - Street 1:336 HARRIS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7407
Mailing Address - Country:US
Mailing Address - Phone:716-626-2203
Mailing Address - Fax:716-626-2258
Practice Address - Street 1:336 HARRIS HILL RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7407
Practice Address - Country:US
Practice Address - Phone:716-626-2203
Practice Address - Fax:716-626-2258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01633296OtherBCBS IL
IL=========001Medicaid
4626080001Medicare NSC