Provider Demographics
NPI:1114405578
Name:EXCELLING MEDICAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:EXCELLING MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:PIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-664-4149
Mailing Address - Street 1:4050 VERDUGO RD STE C
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-3727
Mailing Address - Country:US
Mailing Address - Phone:323-664-4149
Mailing Address - Fax:323-664-4049
Practice Address - Street 1:4050 VERDUGO RD STE C
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-3727
Practice Address - Country:US
Practice Address - Phone:323-664-4149
Practice Address - Fax:323-664-4049
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIER MEDICAL TRANSPORTATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-29
Last Update Date:2018-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)