Organization
EXTREME MOBILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ADAIR (PRESIDENT)
(859) 277-0105
Entity
Organization
Contact information
Practice address
2551 REGENCY RD, SUITE 105, LEXINGTON, KY 40503-2963
(859) 277-0105
Mailing address
2551 REGENCY RD, SUITE 105, LEXINGTON, KY 40503-2963
(859) 277-0105
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45003910
EPSDT
KY
05
—
90013079
—
KY
Enumeration date
07/06/2007
Last updated
11/21/2008
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