MOBILE MEDICAL LLC NPI 1366727463

NPI Information

  • NPI: 1366727463
  • Provider Name: MOBILE MEDICAL, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 17D2056134
  • Address: 345 N RIVERVIEW ST STE 500
    WICHITA, KS
    ZIP 67203
  • Phone: (316) 616-1055

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NPI Details

MOBILE MEDICAL, LLC is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOBILE MEDICAL, LLC NPI is 1366727463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

345 N RIVERVIEW ST STE 500
WICHITA, KS
ZIP 67203-265
Phone: (316) 616-1055
Fax: (855) 633-0585

The provider's authorized official is Brent Sanders .
The authorized official title is Ceo and has the following contact phone number (316) 616-1055.

The CLIA number assigned to this NPI record is 17D2056134 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 6/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2363LF0000XNurse PractitionerFamilyKANSASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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