Organization Active NPI

Clarkson Mobility 24/7/365 LLC.

  • Secured Medical Transport (VAN)
  • South Bend, IN
National Provider Identifier
1275311359
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
CLARKSON MOBILITY 24/7/365 LLC.
Practice address
5316 Reo Ave
South Bend, IN 46619-1341
Phone
(574) 343-9969
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Mr. Marshall Shaun Emory Clarkson, OWNER
Title
Owner
Phone
(574) 387-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

5316 Reo Ave
South Bend, IN 46619-1341

Mailing address

5316 Reo Ave
South Bend, IN 46619-1341
Phone (574) 343-9969

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1275311359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 REO AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191341",
            "telephone_number": "574-343-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 REO AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191341",
            "telephone_number": "574-343-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON MOBILITY 24/7/365 LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "SHAUN EMORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-387-9160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.