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Organization
ADVANCED SEATING AND MOBILITY, INC.
Active
Organization
ADVANCED SEATING AND MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADHAVI MANDURU-RAO (PRESIDENT)
(919) 782-5110
Entity
Organization
Contact information
Practice address
8800 WESTGATE PARK DR, SUITE 110, RALEIGH, NC 27617
(919) 782-5110
(919) 782-7232
Mailing address
8800 WESTGATE PARK DR, SUITE 110, RALEIGH, NC 27617
(919) 782-5110
(919) 782-7232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3418832
NC
332BC3200X
Customized Equipment (DME)
Primary
01115
NC
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0460U
NC BCBS PROVIDER ID #
NC
01
—
3418832
CAP
NC
05
—
7704469
—
NC
Enumeration date
11/01/2006
Last updated
11/03/2011
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