Provider Demographics
NPI:1407080922
Name:EXPRESS TRANSPORTERS OF THE MID-SOUTH LLC
Entity Type:Organization
Organization Name:EXPRESS TRANSPORTERS OF THE MID-SOUTH LLC
Other - Org Name:EXPRESS MEDICAL TRANSPORTERS - EMT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-531-6590
Mailing Address - Street 1:3755 CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-6320
Mailing Address - Country:US
Mailing Address - Phone:901-531-6590
Mailing Address - Fax:901-542-0622
Practice Address - Street 1:3755 CHERRY RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-6320
Practice Address - Country:US
Practice Address - Phone:901-531-6590
Practice Address - Fax:901-542-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)