Organization · Type 2 NPI

Source One Mobility LLC

Oxygen Equipment & Supplies (DME) · Salt Lake City, UT

NPI number 1093924730 Active

Practice location

4455 S 700 E, Suite 200
Salt Lake City, UT 84107-3153

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000X5596831-1714 (UT)

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1093924730

Source One Mobility LLC's National Provider Identifier is 1093924730, issued on May 21, 2007. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 22, 2020.