NPI 1033314083

Active Mobility INC

Organisation Customized Equipment (DME) Mesa, AZ

Practice location

Address: 1315 S Gilbert Rd, Mesa, AZ 85204-6088
Phone: (480) 539-2939
Fax: (480) 539-2930

Authorised official

Name: Dennis Doom
Title: President/Owner
Phone: (480) 539-2939

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

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Registry record

NPI: 1033314083
Entity type: Organization
NPI issued: 19 Jun 2007
Record last updated: 12 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.