Provider Demographics
NPI:1326573668
Name:PROMPT TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:PROMPT TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-770-8691
Mailing Address - Street 1:4252 VAN DYKE AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1255
Mailing Address - Country:US
Mailing Address - Phone:619-569-0463
Mailing Address - Fax:619-354-5217
Practice Address - Street 1:4252 VAN DYKE AVE APT 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1255
Practice Address - Country:US
Practice Address - Phone:619-569-0463
Practice Address - Fax:619-354-5217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)