Provider Demographics
NPI:1043504442
Name:TRANSMEDIX MEDICAL SERVICE INC
Entity Type:Organization
Organization Name:TRANSMEDIX MEDICAL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:VENESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-419-4186
Mailing Address - Street 1:111 S HARRISON ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1726
Mailing Address - Country:US
Mailing Address - Phone:973-885-9238
Mailing Address - Fax:973-673-6599
Practice Address - Street 1:111 S HARRISON ST
Practice Address - Street 2:SUITE 403
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1726
Practice Address - Country:US
Practice Address - Phone:973-885-9238
Practice Address - Fax:973-673-6599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJT0912017341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance