Provider Demographics
NPI:1083120174
Name:AE PRIORITY SERVICE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AE PRIORITY SERVICE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ISMAIL
Authorized Official - Last Name:ELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-558-7843
Mailing Address - Street 1:1177 WATERFORD POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9105
Mailing Address - Country:US
Mailing Address - Phone:614-558-7843
Mailing Address - Fax:614-725-4411
Practice Address - Street 1:1177 WATERFORD POINTE CIR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-9105
Practice Address - Country:US
Practice Address - Phone:614-558-7843
Practice Address - Fax:614-725-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle