Provider Demographics
NPI:1033515192
Name:TTS MED-LEGAL TRANSPORT CORP
Entity Type:Organization
Organization Name:TTS MED-LEGAL TRANSPORT CORP
Other - Org Name:ULTIMA TRANSPORT CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-237-3060
Mailing Address - Street 1:14080 PALM DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-2100
Mailing Address - Country:US
Mailing Address - Phone:909-237-3060
Mailing Address - Fax:760-329-2908
Practice Address - Street 1:14080 PALM DR
Practice Address - Street 2:SUITE D
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-2100
Practice Address - Country:US
Practice Address - Phone:909-237-3060
Practice Address - Fax:760-329-2908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)