Mobile Respiratory&Ancillary Service LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in MI

Legal business name

MOBILE RESPIRATORY&ANCILLARY SERVICE LLC

Practice address

13011 W. M C N Ichols
Detroit, MI 48235-4106

Phone

(313) 862-2094

Fax

(313) 491-0041

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Johnson

Title

Ceo

Phone

(313) 926-1526

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1467636209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 W. M C N ICHOLS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354106",
            "telephone_number": "313-926-1526",
            "fax_number": "313-491-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 W. M C N ICHOLS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354106",
            "telephone_number": "313-862-2094",
            "fax_number": "313-491-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RESPIRATORY&ANCILLARY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-926-1526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4091540 TYPE87",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540H219070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Home Care Service LLC
• Mobile Manicure LLC
• Mobile Medical Doctors Inc
• Mobile Medical Technicians LLC
• Mobile Respiratory and Ancillary LLC
• Mobility Plus Specialist
• Mobley Express LLC
• Douglas Michael Mobley
• Latoya Marie Mobley, B.S LSST
• Joseph Moch

• Durable Medical Equipment & Medical Supplies in Detroit, MI
• Providers in Detroit, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.