Active NPI
L J Motor Sales Inc.
- Durable Medical Equipment & Medical Supplies
- Jackson, MI
National Provider Identifier
1508880188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4740924 | Medicaid | MI |
Other names 1
- L J Mobility Products
National Provider Directory
National Provider Directory- Tax ID family
- L J Mobility Products
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jackson, MI
- NPI 1093018152
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.