Provider Demographics
NPI:1548641129
Name:ADVANCED MOBILE PHYSICIANS LLC
Entity type:Organization
Organization Name:ADVANCED MOBILE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARDELEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-330-3000
Mailing Address - Street 1:14201 N 87TH ST # D145C
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3683
Mailing Address - Country:US
Mailing Address - Phone:602-330-3000
Mailing Address - Fax:602-633-6111
Practice Address - Street 1:14201 N 87TH ST # D145C
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3683
Practice Address - Country:US
Practice Address - Phone:602-330-3000
Practice Address - Fax:602-633-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care