Organization
MOBIL MARTIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN O VIRSIS (OWNER/PRESIDENT)
(216) 281-7777
Entity
Organization
Contact information
Practice address
1279 W 73RD ST, CLEVELAND, OH 44102-2060
(216) 281-9300
(216) 281-8500
Mailing address
14837 DETROIT AVE, BOX 123, LAKEWOOD, OH 44107-3909
(216) 281-9300
(216) 281-8500
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
180322
OH
343800000X
Secured Medical Transport (VAN)
185815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0856346
—
OH
05
—
2516405
—
OH
Enumeration date
08/15/2006
Last updated
02/26/2013
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