Organization
EXTREME MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLOYD ADAIR (PRESIDENT)
(859) 277-0105
Entity
Organization
Contact information
Practice address
2551 REGENCY RD, SUITE 105, LEXINGTON, KY 40503-2963
(859) 277-0105
(859) 277-0135
Mailing address
2551 REGENCY RD, SUITE 105, LEXINGTON, KY 40503-3143
(859) 277-0105
(859) 277-0135
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
277833
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90013079
—
KY
Enumeration date
07/09/2006
Last updated
05/16/2011
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