Provider Demographics
NPI:1396402681
Name:APEX MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:APEX MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-400-5858
Mailing Address - Street 1:79 WOODBINE ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-1750
Mailing Address - Country:US
Mailing Address - Phone:401-545-8453
Mailing Address - Fax:
Practice Address - Street 1:15 KENT AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4741
Practice Address - Country:US
Practice Address - Phone:401-400-5858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-21
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)