Provider Demographics
NPI:1265839682
Name:BMT LLC B M MOBIL MEDIA
Entity Type:Organization
Organization Name:BMT LLC B M MOBIL MEDIA
Other - Org Name:B M MOBIL MEDIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-459-0990
Mailing Address - Street 1:500 E 33RD ST APT 1115
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4242
Mailing Address - Country:US
Mailing Address - Phone:773-459-0990
Mailing Address - Fax:
Practice Address - Street 1:14239 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:DIXMOOR
Practice Address - State:IL
Practice Address - Zip Code:60426-1151
Practice Address - Country:US
Practice Address - Phone:773-459-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)