Provider Demographics
NPI:1104079086
Name:MOBIUS SOLUTIONS LLC
Entity type:Organization
Organization Name:MOBIUS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-466-2828
Mailing Address - Street 1:2089 N 144TH DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2334
Mailing Address - Country:US
Mailing Address - Phone:623-466-2828
Mailing Address - Fax:623-298-5022
Practice Address - Street 1:2089 N 144TH DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2334
Practice Address - Country:US
Practice Address - Phone:623-466-2828
Practice Address - Fax:623-298-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier