Healthcare Provider Details
I. General information
NPI: 1962540542
Provider Name (Legal Business Name): M C MOBILITY SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2007
Last Update Date: 04/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10691 READING RD
CINCINNATI OH
45241-2526
US
IV. Provider business mailing address
10691 READING RD
CINCINNATI OH
45241-2526
US
V. Phone/Fax
- Phone: 513-469-8220
- Fax: 513-469-8233
- Phone: 513-469-8220
- Fax: 513-469-8233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171WV0202X |
| Taxonomy | Vehicle Modifications Contractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CARMEN
PATERNITI
Title or Position: PRESIDENT
Credential:
Phone: 440-951-4335