Provider Demographics
NPI:1265671986
Name:US MEDICAL TRANSPORTATION INC.
Entity Type:Organization
Organization Name:US MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-917-1436
Mailing Address - Street 1:5627 N FIGARDEN DR
Mailing Address - Street 2:113
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3429
Mailing Address - Country:US
Mailing Address - Phone:559-275-8118
Mailing Address - Fax:559-275-8100
Practice Address - Street 1:5627 N FIGARDEN DR
Practice Address - Street 2:113
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-3429
Practice Address - Country:US
Practice Address - Phone:559-275-8118
Practice Address - Fax:559-275-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)