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SOURCE ONE MOBILITY LLC
NPI 1093924730
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Salt Lake City, UT

Active since May 21, 2007
4455 S 700 E, SUITE 200, SALT LAKE CITY, UT 84107(801) 281-4500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Source One Mobility Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE ONE MOBILITY LLC (NPI 1093924730) is a healthcare organization registered as an oxygen equipment & supplies in Salt Lake City, Utah and active in the NPI registry since May 2007. The organization lists Robert Gallup, President, as its authorized official.

NPPES Registry Identity

NPI1093924730
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameSOURCE ONE MOBILITY LLC
Location Address4455 S 700 E, SUITE 200Salt Lake City, UT 84107-3153
Mailing Address4455 S 700 E, Suite 200Salt Lake City, UT 84107-3153 · (801) 281-4500
Phone(801) 281-4500
Organization SubpartNo
Authorized OfficialRobert GallupPresident · (801) 281-4500
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093924730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in UT · 5596831-1714
4455 S 700 E, Salt Lake City, UT 84107
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source One Mobility LLC's NPI number?

The NPI number for Source One Mobility LLC is 1093924730. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Source One Mobility LLC located?

Source One Mobility LLC is located at 4455 S 700 E Suite 200, Salt Lake City, UT 84107. The listed phone number is (801) 281-4500.

What is Source One Mobility LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Source One Mobility LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.