Organization Active NPI

L J Motor Sales Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MI
National Provider Identifier
1508880188
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
L J MOTOR SALES INC.
Practice address
3018 Wildwood Ave
Suite C
Jackson, MI 49202-3969
Phone
(517) 817-5454
Fax
(517) 817-5455
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Gilliland
Title
President
Phone
(517) 817-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3018 Wildwood Ave
Suite C
Jackson, MI 49202-3969

Mailing address

3018 Wildwood Ave
Suite C
Jackson, MI 49202-3969
Phone (517) 817-5454

Other identifiers 1

IdentifierTypeStateIssuer
4740924MedicaidMI

Other names 1

  • L J Mobility Products Doing business as

National Provider Directory

National Provider Directory
Tax ID family
L J Mobility Products2 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.

Locations

3018 Wildwood Ave
Ste C
Jackson, MI 49202
Phone (517) 817-5454

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508880188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 WILDWOOD AVE",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023969",
            "telephone_number": "517-817-5454",
            "fax_number": "517-817-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 WILDWOOD AVE",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023969",
            "telephone_number": "517-817-5454",
            "fax_number": "517-817-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L J MOTOR SALES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-817-5454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4740924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L J Mobility Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • 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.