Provider Demographics
NPI:1992888689
Name:MOTION MEDICAL LLC
Entity type:Organization
Organization Name:MOTION MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:GABALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-763-2640
Mailing Address - Street 1:1613 WALBURG RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-8605
Mailing Address - Country:US
Mailing Address - Phone:262-763-2640
Mailing Address - Fax:262-763-3005
Practice Address - Street 1:1613 WALBURG RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-8605
Practice Address - Country:US
Practice Address - Phone:262-763-2640
Practice Address - Fax:262-763-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies