Provider Demographics
NPI:1538449376
Name:MOBILITY SALES, LLC
Entity type:Organization
Organization Name:MOBILITY SALES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COUNCILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-722-3822
Mailing Address - Street 1:101 HOT SPRINGS RD
Mailing Address - Street 2:UNIT #5E
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1601
Mailing Address - Country:US
Mailing Address - Phone:775-884-9024
Mailing Address - Fax:775-884-9025
Practice Address - Street 1:101 HOT SPRINGS RD
Practice Address - Street 2:UNIT #5E
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1601
Practice Address - Country:US
Practice Address - Phone:775-884-9024
Practice Address - Fax:775-884-9025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies