Provider Demographics
NPI:1962433045
Name:GOBILITY MOBILITY LLC
Entity type:Organization
Organization Name:GOBILITY MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-836-7630
Mailing Address - Street 1:PO BOX 708126
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-8126
Mailing Address - Country:US
Mailing Address - Phone:801-465-3609
Mailing Address - Fax:801-465-9998
Practice Address - Street 1:2975 EXECUTIVE PKWY STE 159
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-9019
Practice Address - Country:US
Practice Address - Phone:801-465-3609
Practice Address - Fax:801-465-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTJ09905332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies