MEDICALMOBILEUNLIMITEDLLC NPI 1457002628

NPI Information

NPI: 1457002628
Provider Name: MEDICALMOBILEUNLIMITEDLLC
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

CLIA Number: 23D2250922

Address:
400 RENAISSANCE CTR
DETROIT, MI
ZIP 48243
Phone: (567) 277-6942
Get Directions

MEDICALMOBILEUNLIMITEDLLC is a nutrition and education nutritionist in Detroit, MI. MEDICALMOBILEUNLIMITEDLLC NPI is 1457002628. The provider is registered as an organization entity type.

The provider's business location address is:

400 RENAISSANCE CTR
DETROIT, MI
ZIP 48243-502
Phone: (567) 277-6942

The provider's authorized official is Altonio Coleman .
The authorized official title is Ceo and has the following contact phone number (313) 899-8102.

The CLIA number assigned to this NPI record is 23D2250922 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2022 and was last updated on 1/10/2022.

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
1	261QP2000X	Clinic/Center	Physical Therapy			No
2	133NN1002X	Nutritionist	Nutrition, Education			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111111122	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »