Provider Demographics
NPI:1114411204
Name:VALLEY MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:VALLEY MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZIMBRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-276-1600
Mailing Address - Street 1:28 BLOOMFIELD AVE STE 101A
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9903
Mailing Address - Country:US
Mailing Address - Phone:973-276-1600
Mailing Address - Fax:973-276-1601
Practice Address - Street 1:6 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2921
Practice Address - Country:US
Practice Address - Phone:973-930-1488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)