Organization
MOBILTEK MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM RAY HALL II (OWNER)
(317) 535-2510
Entity
Organization
Contact information
Practice address
675 NORTH U.S. 31, WHITELAND, IN 46184
(317) 535-2510
(317) 535-4783
Mailing address
675 NORTH U.S. 31, WHITELAND, IN 46184
(317) 535-2510
(317) 535-4783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0115153918
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351337
BLUE CROSS BLUE SHIELD
IN
01
—
69000094A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
11/04/2005
Last updated
08/22/2020
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