Organization
MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEA ALEXIS MATTISON (ADMINISTRATOR)
(928) 377-4180
Entity
Organization
Contact information
Practice address
400 SHADOW LN STE 110, LAS VEGAS, NV 89106-4355
(702) 800-6520
(702) 800-6492
Mailing address
400 SHADOW LN STE 110, LAS VEGAS, NV 89106-4355
(702) 800-6520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250013197
—
NV
Enumeration date
10/06/2021
Last updated
10/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us