Provider Demographics
NPI:1912862913
Name:ELITE MEDICAL MOBILITY LLC
Entity type:Organization
Organization Name:ELITE MEDICAL MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASIYA
Authorized Official - Middle Name:MARYAM
Authorized Official - Last Name:ABDUL-ALIM
Authorized Official - Suffix:
Authorized Official - Credentials:QMHS
Authorized Official - Phone:206-380-2878
Mailing Address - Street 1:1500 DETROIT AVE APT 416
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2446
Mailing Address - Country:US
Mailing Address - Phone:216-389-5254
Mailing Address - Fax:
Practice Address - Street 1:1500 DETROIT AVE APT 416
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2446
Practice Address - Country:US
Practice Address - Phone:216-389-5254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELITE MEDICAL MOBILITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-22
Last Update Date:2025-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company