Provider Demographics
NPI:1356236954
Name:AZ MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:AZ MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AZEEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:UTHMAN OLUKOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-556-4257
Mailing Address - Street 1:12 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-4005
Mailing Address - Country:US
Mailing Address - Phone:401-556-4257
Mailing Address - Fax:
Practice Address - Street 1:12 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-4005
Practice Address - Country:US
Practice Address - Phone:401-556-4257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)