Provider Demographics
NPI:1073758835
Name:QUALITY TRANSPORT SERVICES OF AZ
Entity Type:Organization
Organization Name:QUALITY TRANSPORT SERVICES OF AZ
Other - Org Name:QUALITY OF LIFE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHECHTERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-371-1000
Mailing Address - Street 1:2432 W PEORIA AVE
Mailing Address - Street 2:#1340
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029
Mailing Address - Country:US
Mailing Address - Phone:602-371-1000
Mailing Address - Fax:602-371-1007
Practice Address - Street 1:2432 W PEORIA AVE
Practice Address - Street 2:#1340
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029
Practice Address - Country:US
Practice Address - Phone:602-371-1000
Practice Address - Fax:602-371-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)