Provider Demographics
NPI:1043100472
Name:JM MEDICAL TRANSPORTS LLC
Entity type:Organization
Organization Name:JM MEDICAL TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNI
Authorized Official - Middle Name:TESHOME
Authorized Official - Last Name:MOKONNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-577-1275
Mailing Address - Street 1:5692 MALONE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-6036
Mailing Address - Country:US
Mailing Address - Phone:725-577-1275
Mailing Address - Fax:
Practice Address - Street 1:5692 MALONE CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-6036
Practice Address - Country:US
Practice Address - Phone:725-577-1275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)