Medsource Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSOURCE MOBILITY LLC

Doing business as

Aamco Medical

Practice address

10520 S 700 E Ste 209
Sandy, UT 84070-0943

Phone

(866) 293-3218

Fax

(800) 456-6504

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David Charles Sr.

Title

President

Phone

(866) 293-3218

Specialties & licenses 1

Addresses

Other names 1

• Aamco Medical Doing business as

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1326288713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 S 700 E STE 209",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700943",
            "telephone_number": "866-293-3218",
            "fax_number": "800-456-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 S 700 E STE 209",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700943",
            "telephone_number": "866-293-3218",
            "fax_number": "800-456-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Highway 30",
            "address_2": "Unit 4",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "ID",
            "postal_code": "833417000",
            "country_code": "US",
            "telephone_number": "866-293-3218",
            "fax_number": "800-456-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDSOURCE MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-293-3218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aamco Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aamco Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.