Larry McQuater

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

25320136 Issued in MS

Legal business name

LARRY MCQUATER

Doing business as

Diversified Mobility

Practice address

240 Meadowbrook Rd
Jackson, MS 39206-5260

Phone

(601) 713-3366

Fax

(601) 713-3388

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By 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

Mr. Jamel McQuater

Title

Manager

Phone

(601) 713-3366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DIVERSIFIED MOBILITY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry McQuater

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
  • NPI 1336261569
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1861652745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEADOWBROOK RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065260",
            "telephone_number": "601-713-3366",
            "fax_number": "601-713-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEADOWBROOK RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065260",
            "telephone_number": "601-713-3366",
            "fax_number": "601-713-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY MCQUATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MCQUATER",
        "authorized_official_first_name": "JAMEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-713-3366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "25320136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440848",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVERSIFIED MOBILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra S Langston, CFNP
• Sarah Crumbley Langston, D.M.D.
• Xavier Kenarrd Langston
• Leila Lanning, FNP-C
• Bryan S. Lantrip, M. D.
• Tanya Larry, LMFT
• Zenotha Larry, NP
• Tracy E Larue, ACNP
• Lindsey B Lassiter, FNP
• Later Made Greater Caregiving LLC

• Durable Medical Equipment & Medical Supplies in Jackson, MS
• Providers in Jackson, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.