Provider Demographics
NPI:1346859089
Name:GARNET TRANSPORT MEDICINE, LLC
Entity Type:Organization
Organization Name:GARNET TRANSPORT MEDICINE, LLC
Other - Org Name:GARNET MOBILE DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-876-2301
Mailing Address - Street 1:34 BLAIR PARK RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7991
Mailing Address - Country:US
Mailing Address - Phone:802-876-2300
Mailing Address - Fax:802-876-2398
Practice Address - Street 1:1000 RIVER ST BLDG 900
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-4201
Practice Address - Country:US
Practice Address - Phone:802-876-2300
Practice Address - Fax:802-876-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care