Organization
ECLIPSE MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON J CLEVERLY (MANAGER/OWNER)
(801) 842-6106
Entity
Organization
Contact information
Practice address
1051 S 500 W STE D, WOODS CROSS, UT 84010-8350
(801) 217-3551
(844) 544-7220
Mailing address
1051 S 500 W STE D, WOODS CROSS, UT 84010-8350
(801) 217-3551
(844) 544-7220
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
9784687-1714
UT
332BX2000X
Oxygen Equipment & Supplies (DME)
9784687-1714
UT
Other
Enumeration date
05/18/2016
Last updated
09/15/2021
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