Provider Demographics
NPI:1164116182
Name:REQUEST NON EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:REQUEST NON EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-234-9050
Mailing Address - Street 1:155 S MAIN ST UNIT 82
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48046-7704
Mailing Address - Country:US
Mailing Address - Phone:810-309-9727
Mailing Address - Fax:
Practice Address - Street 1:50480 BAY RUN N
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-4686
Practice Address - Country:US
Practice Address - Phone:810-309-9727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker