Healthcare Provider Details

I. General information

NPI: 1740118066
Provider Name (Legal Business Name): M-TEE'S MOBILE MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7780 N 57TH LN
GLENDALE AZ
85301-7872
US

IV. Provider business mailing address

7780 N 57TH LN
GLENDALE AZ
85301-7872
US

V. Phone/Fax

Practice location:
  • Phone: 480-407-9396
  • Fax:
Mailing address:
  • Phone: 480-407-9396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MISS MONIQUE DANIELLE MOODY
Title or Position: ASSISTANT MANAGER
Credential: CPT, CMA, DSP
Phone: 480-407-9396