Provider Demographics
NPI:1326763541
Name:ABBELLA MEDICAL TRIPS LLC
Entity Type:Organization
Organization Name:ABBELLA MEDICAL TRIPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMBUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-419-0735
Mailing Address - Street 1:800 RED BROOK BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5657
Mailing Address - Country:US
Mailing Address - Phone:410-654-3361
Mailing Address - Fax:410-346-2399
Practice Address - Street 1:800 RED BROOK BLVD STE 240
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5657
Practice Address - Country:US
Practice Address - Phone:410-654-3361
Practice Address - Fax:410-346-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)