OrganizationActive
Source One Mobility LLC
NPI 1093924730 · Oxygen Equipment & Supplies (DME) · Salt Lake City, UT
Provider details
- NPI number
- 1093924730
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Robert Gallup, President(801) 281-4500
- License
- 5596831-1714 (UT)
Specialties & taxonomies
Suppliers
Practice location
4455 S 700 E
Suite 200
Salt Lake City, UT 84107-3153
Phone: (801) 281-4500
Approximate (ZIP-level) locationGet directions
Mailing address
4455 S 700 E
Salt Lake City, UT 84107-3153
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.