Provider Demographics
NPI:1326416884
Name:SAFEWAY MEDICAL TRANPORTATION LLC
Entity Type:Organization
Organization Name:SAFEWAY MEDICAL TRANPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTIM
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-896-4007
Mailing Address - Street 1:393 MINNISINK RD
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1804
Mailing Address - Country:US
Mailing Address - Phone:973-896-4007
Mailing Address - Fax:973-907-2335
Practice Address - Street 1:393 MINNISINK RD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1804
Practice Address - Country:US
Practice Address - Phone:973-896-4007
Practice Address - Fax:973-907-2335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1017673416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport