Provider Demographics
NPI:1376774224
Name:VELOCITY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:VELOCITY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SULIMAN
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:SULIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-516-8522
Mailing Address - Street 1:777 W CHANDLER BLVD
Mailing Address - Street 2:2385
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2506
Mailing Address - Country:US
Mailing Address - Phone:480-516-8522
Mailing Address - Fax:
Practice Address - Street 1:14 GOODYEAR DR
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-9738
Practice Address - Country:US
Practice Address - Phone:480-516-8522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)