Provider Demographics
NPI:1275760969
Name:ELITE MEDICAL TEAM, INC.
Entity Type:Organization
Organization Name:ELITE MEDICAL TEAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:484-479-4289
Mailing Address - Street 1:155 E GODFREY AVE
Mailing Address - Street 2:B506
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-4701
Mailing Address - Country:US
Mailing Address - Phone:484-479-4289
Mailing Address - Fax:
Practice Address - Street 1:155 E GODFREY AVE
Practice Address - Street 2:B506
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-4701
Practice Address - Country:US
Practice Address - Phone:484-479-4289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance