Madrag LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MADRAG LLC

Practice address

200 Bethlehem Dr BLDG C-145
Morgantown, PA 19543-9771

Phone

(610) 913-0060

Fax

(610) 913-0065

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Gail Ragland, ESQUIRE

Title

Attorney

Phone

(484) 437-4097

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

101 Mobility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madrag LLC

  dba 101 Mobility

  • Home Modifications Contractor
  • Morgantown, PA
  • NPI 1689199226
  NPD tax ID

Locations

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1508474768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BETHLEHEM DR BLDG C-145",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195439771",
            "telephone_number": "610-913-0060",
            "fax_number": "610-913-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BETHLEHEM DR BLDG C-145",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195439771",
            "telephone_number": "610-913-0060",
            "fax_number": "610-913-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRAG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "484-437-4097",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033408400002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lragland@101Mobility.com",
            "affiliation": "N",
            "endpointDescription": "LRagland@101Mobility.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "not applicable",
            "address_1": "200 Bethlehem Dr Bldg C-145",
            "city": "Morgantown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "195439771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keri M Kelly, D.C.
• Yooson E Kim, D.M.D
• Anna Halina Klimachefsky, LCSW
• Patricia Denunzio Kreider, PSYD
• John M Macdonnell, PH.D.
• Madrag LLC (101 Mobility)
• Kaitlin Dawn McGinnis, ATC
• Morgantown Chiropractic & Diagnostic Center
• Morgantown ENT and Neurology-Suncrest (University Health Associates)
• Hannah Kathleen Norton

• Customized Equipment (DME) in Morgantown, PA
• Providers in Morgantown, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.