Source One Mobility, Inc

LBN: Source One Mobility, Inc
Source One Mobility, Inc is an health care organization with primary practice located at 629 Phoenix Dr Suite 115, Virginia Beach VA 23452-7392. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Source One Mobility, Inc can be contacted via phone (757) 463-5590, or through Kline, Ronnie C via phone (757) 463-5590.

Contact Information

Primary practice address
629 Phoenix Dr Suite 115 Virginia Beach VA 23452-7392
Phone: (757) 463-5590
Fax: (757) 463-5592
Website:
Map and Directions
Authorized official contact:
Name: Kline, Ronnie C
Phone: (757) 463-5590

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 838765200 Virginia

Profile Details

NPI number 1437196367
LBN Legal business name Source One Mobility, Inc
DBA Doing business as
Authorized official Kline, Ronnie C
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Dec 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437196367 NPPES
Virginia MEDICAID 9108432

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