Provider Demographics
NPI:1164021333
Name:EMS MEDICAL MANAGEMENT LLC
Entity Type:Organization
Organization Name:EMS MEDICAL MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-587-9483
Mailing Address - Street 1:347 N POTTSTOWN PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2222
Mailing Address - Country:US
Mailing Address - Phone:484-879-6929
Mailing Address - Fax:484-879-6923
Practice Address - Street 1:347 N POTTSTOWN PIKE STE 102
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2222
Practice Address - Country:US
Practice Address - Phone:484-879-6929
Practice Address - Fax:484-879-6923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory