Provider Demographics
NPI:1346791589
Name:UT MOBILE STROKE UNIT LLC
Entity Type:Organization
Organization Name:UT MOBILE STROKE UNIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARLEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-866-8864
Mailing Address - Street 1:1407 UNION AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3641
Mailing Address - Country:US
Mailing Address - Phone:901-866-8864
Mailing Address - Fax:901-302-8117
Practice Address - Street 1:1407 UNION AVE STE 700
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3641
Practice Address - Country:US
Practice Address - Phone:901-866-8864
Practice Address - Fax:901-302-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport