Source One Mobility Llc in Salt Lake City - Oxygen Equipment & Supplies
Source One Mobility Llc - NPI 1093924730
Source One Mobility Llc is a Oxygen Equipment & Supplies in Salt Lake City, Utah. Source One Mobility Llc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Source One Mobility Llc is 1093924730. The last update date is 2020-08-22.
Source One Mobility Llc's current location address is 4455 S 700 E, Salt Lake City, Utah. You can contact this provider via phone number 8012814500. The mailing address for Source One Mobility Llc is 4455 S 700 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Source One Mobility Llc |
|---|---|
| Address | 4455 S 700 E, Salt Lake City, Utah |
| Phone Number | 8012814500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gallup Robert |
| Telephone Number | 8012814500 |
NPI Number Detail
| NPI Number | 1093924730 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4455 S 700 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841073153 |
| Phone Number | 8012814500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oxygen Equipment & Supplies |
|---|---|
| Taxonomy | 332Bx2000X |
| Licence No | 5596831-1714 |
|
Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
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What is the unique 10-digit identification code issued to Source One Mobility Llc by the Centers for Medicare & Medicaid Services?
The Source One Mobility Llc has been assigned the NPI (National Provider Identifier) 1093924730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Source One Mobility Llc?
The Source One Mobility Llc is situated at 4455 S 700 E, in the city of Salt Lake City, state of UT, with the zip code 841073153.
What is Source One Mobility Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Source One Mobility Llc is Oxygen Equipment & Supplies, and the taxonomy classification code that categorizes this area of expertise is 332Bx2000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093924730 to Source One Mobility Llc?
The Centers for Medicare & Medicaid Services originally issued the 1093924730 to Source One Mobility Llc on 2007-05-21.
As of what date were the Source One Mobility Llc's details last updated?
The information pertaining to the Source One Mobility Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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