Provider Demographics
NPI:1225374747
Name:METRO MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:METRO MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-250-5008
Mailing Address - Street 1:4121 MONROE ST
Mailing Address - Street 2:D1
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2064
Mailing Address - Country:US
Mailing Address - Phone:419-250-5008
Mailing Address - Fax:419-724-4478
Practice Address - Street 1:4121 MONROE ST
Practice Address - Street 2:D1
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2064
Practice Address - Country:US
Practice Address - Phone:419-250-5008
Practice Address - Fax:419-724-4478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1828041251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization