Organization Active NPI

Mobile Respiratory and Ancillary LLC

  • General Care Certified Respiratory Therapist
  • Detroit, MI
National Provider Identifier
1043574858
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
Legal business name
MOBILE RESPIRATORY AND ANCILLARY LLC
Practice address
3330 Fullerton St
Detroit, MI 48238-3317
Phone
(313) 926-1525
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Johnson
Title
Owner
Phone
(313) 926-1526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278G1100X Primary

Addresses

Primary practice location

3330 Fullerton St
Detroit, MI 48238-3317

Mailing address

3330 Fullerton St
Detroit, MI 48238-3317

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1043574858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 FULLERTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 FULLERTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383317",
            "telephone_number": "313-926-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RESPIRATORY AND ANCILLARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-926-1526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.