Provider Demographics
NPI:1235552449
Name:RITEWAY MEDICAL TRANS LLC
Entity Type:Organization
Organization Name:RITEWAY MEDICAL TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HANE
Authorized Official - Middle Name:OSAMA
Authorized Official - Last Name:SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-334-8948
Mailing Address - Street 1:2343 W MAIN ST
Mailing Address - Street 2:APARTMENT 1066
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-9003
Mailing Address - Country:US
Mailing Address - Phone:480-334-8948
Mailing Address - Fax:
Practice Address - Street 1:2343 W MAIN ST
Practice Address - Street 2:APARTMENT 1066
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-9003
Practice Address - Country:US
Practice Address - Phone:480-334-8948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)