Provider Demographics
NPI:1326165390
Name:MEGA TRANS SERVICE,LLC
Entity Type:Organization
Organization Name:MEGA TRANS SERVICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:N
Authorized Official - Last Name:AMOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-714-9865
Mailing Address - Street 1:8305 LAKE TREE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-4719
Mailing Address - Country:US
Mailing Address - Phone:317-714-9865
Mailing Address - Fax:317-887-9804
Practice Address - Street 1:8305 LAKE TREE LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-4719
Practice Address - Country:US
Practice Address - Phone:317-714-9865
Practice Address - Fax:317-887-9804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1291654343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)