# ECLIPSE MOBILITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588011688
- **Authorized official:** LANDON J CLEVERLY (MANAGER/OWNER)
- **Authorized official phone:** (801) 842-6106

## Contact information

- **Practice address:** 1051 S 500 W STE D, WOODS CROSS, UT 84010-8350
- **Practice address phone:** (801) 217-3551
- **Practice address fax:** (844) 544-7220
- **Mailing address:** 1051 S 500 W STE D, WOODS CROSS, UT 84010-8350
- **Mailing address phone:** (801) 217-3551
- **Mailing address fax:** (844) 544-7220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | 9784687-1714 | UT | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 9784687-1714 | UT | — |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 09/15/2021