Provider Demographics
NPI:1043742802
Name:EXPEDITED MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:EXPEDITED MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-308-9356
Mailing Address - Street 1:362 JESS FRAZIER LN
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-4187
Mailing Address - Country:US
Mailing Address - Phone:931-308-9356
Mailing Address - Fax:
Practice Address - Street 1:102 WILLIAM NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-4765
Practice Address - Country:US
Practice Address - Phone:931-308-9356
Practice Address - Fax:931-691-9933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
TN000896750343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)