Provider Demographics
NPI:1356238463
Name:GENUINE MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:GENUINE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:REYES CALCANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-318-3164
Mailing Address - Street 1:4377 STONEBRIDGE DR SW APT 9
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4169
Mailing Address - Country:US
Mailing Address - Phone:616-318-3164
Mailing Address - Fax:
Practice Address - Street 1:4377 STONEBRIDGE DR SW APT 9
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-4169
Practice Address - Country:US
Practice Address - Phone:616-318-3164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)