Provider Demographics
NPI:1407160062
Name:CITO EMS,LLC
Entity Type:Organization
Organization Name:CITO EMS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRS
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYRAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-869-2258
Mailing Address - Street 1:73 BUCK RD
Mailing Address - Street 2:SUITE#3
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1560
Mailing Address - Country:US
Mailing Address - Phone:215-874-5355
Mailing Address - Fax:
Practice Address - Street 1:73 BUCK ROAD
Practice Address - Street 2:SUITE #3
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1560
Practice Address - Country:US
Practice Address - Phone:215-874-5355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport