Provider Demographics
NPI:1043499510
Name:ILOSKI'S MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:ILOSKI'S MEDICAL TRANSPORTATION INC
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ILOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:973-546-4976
Mailing Address - Street 1:267 LANZA AVE
Mailing Address - Street 2:#1
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3535
Mailing Address - Country:US
Mailing Address - Phone:973-546-4976
Mailing Address - Fax:973-546-4976
Practice Address - Street 1:267 LANZA AVE
Practice Address - Street 2:#1
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-3535
Practice Address - Country:US
Practice Address - Phone:973-546-4976
Practice Address - Fax:973-546-4976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJILOSKI0203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport