Source One Mobility, Inc
Durable Medical Equipment & Medical Supplies
629 Phoenix Dr, Suite 115, Virginia Beach
Virginia, 23452-7392
757-463-5590 757-463-5592
Source One Mobility, Inc is a Durable Medical Equipment & Medical Supplies in Virginia Beach, Virginia. It is located at 629 Phoenix Dr, Suite 115, Virginia Beach and it's customer support contact number is 757-463-5590. The authorized person of Source One Mobility, Inc is Mr. Ronnie C Kline who is President of this DME and his contact number is 757-463-5590. Active license number of Source One Mobility, Inc is 838765200 for Durable Medical Equipment & Medical Supplies in Virginia.
Source One Mobility, Inc is 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.
DME Supplier Details:
Source One Mobility, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Source One Mobility, Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 629 Phoenix Dr, Suite 115, Virginia Beach,
Virginia, 23452-7392 |
| Phone: | 757-463-5590 |
| Fax: | 757-463-5592 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Ronnie C Kline |
| Position: | President |
| Contact Number: | 757-463-5590 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1437196367 |
| NPI Enumeration Date: | 31 May, 2006 |
| NPI Last Update On: | 08 Dec, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Source One Mobility, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 838765200 | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9108432 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 629 Phoenix Dr, Suite 115
Virginia Beach, Virginia |
| Zip: | 23452-7392 |
| Phone Number: | 757-463-5590 |
| Fax Number: | 757-463-5592 |
Patients can reach Source One Mobility, Inc at
629 Phoenix Dr, Suite 115, Virginia Beach, Virginia or can
call on customer care at 757-463-5590.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.