Organization
SOURCE ONE MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GALLUP (PRESIDENT)
(801) 281-4500
Entity
Organization
Contact information
Practice address
4455 S 700 E, SUITE 200, SALT LAKE CITY, UT 84107-3153
(801) 281-4500
Mailing address
4455 S 700 E, SUITE 200, SALT LAKE CITY, UT 84107-3153
(801) 281-4500
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5596831-1714
UT
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us