Provider Demographics
NPI:1548975147
Name:AZ MOBILITY LLC
Entity type:Organization
Organization Name:AZ MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-200-1426
Mailing Address - Street 1:4199 KINROSS LAKES PARKWAY - ATTN COMPLIANCE
Mailing Address - Street 2:300
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286
Mailing Address - Country:US
Mailing Address - Phone:234-200-1379
Mailing Address - Fax:
Practice Address - Street 1:1070 E LONE CACTUS DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-5651
Practice Address - Country:US
Practice Address - Phone:866-719-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No347C00000XTransportation ServicesPrivate Vehicle