Organization Active NPI

Western Mobile Medical

Doing business as Western Mobile Medicine

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1093217713
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTERN MOBILE MEDICAL
Doing business as
Western Mobile Medicine
Practice address
18441 N 25TH Ave Ste 103
Phoenix, AZ 85023-1256
Phone
(480) 246-3275
Fax
(480) 246-3274
NPI assigned
Mar 8, 2018
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Debra Laseter, NPNPI 1538190269
Title
Ceo
Phone
(480) 246-3275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

18441 N 25TH Ave Ste 103
Phoenix, AZ 85023-1256

Mailing address

18441 N 25TH Ave Ste 103
Phoenix, AZ 85023-1256
Phone (480) 246-3275

Other names 1

  • Western Mobile Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1093217713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 N 25TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231256",
            "telephone_number": "480-246-3275",
            "fax_number": "480-246-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 N 25TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231256",
            "telephone_number": "480-246-3275",
            "fax_number": "480-246-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MOBILE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "LASETER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-246-3275",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Mobile Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.