Active NPI
Relatyv Mobile Medical LLC
- Other Specialist/Technologist
- Deforest, WI
National Provider Identifier
1992593826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Legal business name
- RELATYV MOBILE MEDICAL LLC
- Practice address
- 6207 Williamsburg Way Apt 101
Deforest, WI 53532-9124 - Phone
- (866) 953-2175
- Fax
- (800) 852-6567
- NPI assigned
- Apr 29, 2025
- 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
- Janice A Compton
- Title
- Contract Manager
- Phone
- (830) 832-9703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
6207 Williamsburg Way Apt 101
Deforest, WI 53532-9124
Mailing address
4140 E Baseline Rd Ste 101
Mesa, AZ 85206-4413
Phone (866) 953-2175
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1992593826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 E BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852064413",
"telephone_number": "866-953-2175",
"fax_number": "800-852-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6207 WILLIAMSBURG WAY APT 101",
"city": "DEFOREST",
"state": "WI",
"postal_code": "535329124",
"telephone_number": "866-953-2175",
"fax_number": "800-852-6567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELATYV MOBILE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "COMPTON",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CONTRACT MANAGER",
"authorized_official_telephone_number": "830-832-9703"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deforest, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.