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UPSTATE PEDIATRIC MOBILITY
NPI 1376419010
Durable Medical Equipment & Medical Supplies in Laurens, SC

Active since October 10, 2025
114 LEMON TREE TRL, LAURENS, SC 29360(803) 307-1582 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, Oct 10, 2025 (2 updates tracked since 2025).

About Upstate Pediatric Mobility NPPES

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

UPSTATE PEDIATRIC MOBILITY (NPI 1376419010) is a healthcare organization registered as a durable medical equipment & medical supplies in Laurens, South Carolina and active in the NPI registry since October 2025. The organization lists Charles Baco, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1376419010
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameUPSTATE PEDIATRIC MOBILITY
Location Address114 LEMON TREE TRLLaurens, SC 29360-3908
Mailing Address114 Lemon Tree TrlLaurens, SC 29360-3908 · (864) 535-2531
Phone(803) 307-1582
Organization SubpartNo
Authorized OfficialCharles BacoCo-owner · (864) 535-2531
Enumeration DateOctober 10, 2025
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1376419010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
114 LEMON TREE TRL, Laurens, SC 29360
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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 Upstate Pediatric Mobility's NPI number?

The NPI number for Upstate Pediatric Mobility is 1376419010. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Upstate Pediatric Mobility located?

Upstate Pediatric Mobility is located at 114 Lemon Tree Trl, Laurens, SC 29360. The listed phone number is (803) 307-1582.

What is Upstate Pediatric Mobility's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Upstate Pediatric Mobility was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.