Provider Demographics
NPI:1942456074
Name:ACCESS MOBILITY EQUIPMENT, LLC
Entity type:Organization
Organization Name:ACCESS MOBILITY EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:CLORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:ATP
Authorized Official - Phone:540-288-4905
Mailing Address - Street 1:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:THORNBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22565-0141
Mailing Address - Country:US
Mailing Address - Phone:540-288-4905
Mailing Address - Fax:540-446-2844
Practice Address - Street 1:10816 TIDEWATER TRL
Practice Address - Street 2:UNIT 966
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-2047
Practice Address - Country:US
Practice Address - Phone:540-288-4905
Practice Address - Fax:540-446-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies