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NPI Code Detail

MEDICARE: RELATYV MOBILE MEDICAL LLC

MEDICARE: RELATYV MOBILE MEDICAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246Z00000XOther Specialist/Technologist

General Provider Information

NPI Number : 1790571735
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELATYV MOBILE MEDICAL LLC
Provider Business Mailing Address
First Line : 4140 E BASELINE RD STE 101
Second Line :
City : MESA
State : AZ
Zip : 85206-4413
Country : US
Telephone Number : 830-832-9703
Fax Number : 877-285-0477
Provider Business Practice Location Address
First Line : 274 W SAN RAFAEL PL
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-1664
Country : US
Telephone Number : 505-870-4949
Fax Number : 877-285-0477
Authorized Official
Title or Position : CONTRACTING
Name : JANICE A COMPTON
Credential :
Telephone Number : 830-832-9703
Provider Enumeration Date : 04/16/2025
Last Update Date : 05/08/2025

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Directions to “RELATYV MOBILE MEDICAL LLC ” Practice Location

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