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NPI Code Detail

MEDICARE: ELITE MEDICAL MOBILITY LLC

MEDICARE: ELITE MEDICAL MOBILITY 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
1342000000XTransportation Network Company

General Provider Information

NPI Number : 1912862913
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE MEDICAL MOBILITY LLC
Provider Business Mailing Address
First Line : 1500 DETROIT AVE APT 416
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2446
Country : US
Telephone Number : 216-389-5254
Fax Number :
Provider Business Practice Location Address
First Line : 1500 DETROIT AVE APT 416
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2446
Country : US
Telephone Number : 216-389-5254
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : ASIYA MARYAM ABDUL-ALIM
Credential : QMHS
Telephone Number : 206-380-2878
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ELITE MEDICAL MOBILITY LLC ” Practice Location

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