Organization
ROADRUNNER MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL J ROYER (OPERATIONS MANAGER)
(800) 467-2668
Entity
Organization
Contact information
Practice address
39400 TAYLOR PKWY, NORTH RIDGEVILLE, OH 44035-6263
(800) 467-2668
(866) 362-1367
Mailing address
39400 TAYLOR PKWY, NORTH RIDGEVILLE, OH 44035-6263
(800) 467-2668
(866) 362-1367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135432
—
CT
05
—
00440883
—
MS
05
—
009974800
—
AL
05
—
1108341
—
LA
05
—
145445716
—
AR
05
—
146818301
—
TX
05
—
146819101
—
TX
05
—
200031200A
—
OK
05
—
200819000A
—
IN
05
—
4582231
—
TN
01
—
531005
BLUE CROSS BLUE SHIELD
TX
05
—
749952024001
—
IL
05
—
90008343
—
KY
01
—
95959
PACIFICARE OF TEXAS
TX
05
—
N1406
—
NM
Enumeration date
10/20/2006
Last updated
07/14/2010
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