Mobiltek Medical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0115153918 Issued in IN

Legal business name

MOBILTEK MEDICAL INC.

Practice address

675 North U.S. 31
Whiteland, IN 46184

Phone

(317) 535-2510

Fax

(317) 535-4783

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jim Ray Hall II

Title

Owner

Phone

(317) 535-2510

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336130608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 NORTH U.S. 31",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "46184",
            "telephone_number": "317-535-2510",
            "fax_number": "317-535-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 NORTH U.S. 31",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "46184",
            "telephone_number": "317-535-2510",
            "fax_number": "317-535-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILTEK MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-535-2510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0115153918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA BOARD OF PHARMACY",
            "identifier": "69000094A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000351337",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Penn, LCSW

• Durable Medical Equipment & Medical Supplies in Whiteland, IN
• Providers in Whiteland, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.