Provider Demographics
NPI:1063648046
Name:CABITAL MEDICAL TRANS
Entity Type:Organization
Organization Name:CABITAL MEDICAL TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:NAGIELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-238-5843
Mailing Address - Street 1:1331 W BASELINE RD UNIT 218
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5879
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1331 W BASELINE RD UNIT 218
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5879
Practice Address - Country:US
Practice Address - Phone:480-238-5843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ429880343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)