Provider Demographics
NPI:1174756217
Name:INDEPENDENT MOBILITY SALES INC.
Entity type:Organization
Organization Name:INDEPENDENT MOBILITY SALES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:FRIEDMAN
Authorized Official - Last Name:(NMI)
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-693-5242
Mailing Address - Street 1:6328 NW 175TH TERRACE
Mailing Address - Street 2:INDEPENDENT MOBILITY SALES INC.
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4437
Mailing Address - Country:US
Mailing Address - Phone:305-693-5242
Mailing Address - Fax:305-693-5234
Practice Address - Street 1:1015 EAST 28TH STREET
Practice Address - Street 2:INDEPENDENT MOBILTY SALES INC.
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013
Practice Address - Country:US
Practice Address - Phone:305-693-5242
Practice Address - Fax:305-693-5234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment