Provider Demographics
NPI:1407284433
Name:SUPERIOR MEDICAL RESPONSE INC.
Entity Type:Organization
Organization Name:SUPERIOR MEDICAL RESPONSE INC.
Other - Org Name:SMR AMBULANCE SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALISHER
Authorized Official - Middle Name:
Authorized Official - Last Name:IGAMBERDIEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-949-2700
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:JOBSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08041-0218
Mailing Address - Country:US
Mailing Address - Phone:609-949-2700
Mailing Address - Fax:732-668-1185
Practice Address - Street 1:2206 SAYLORS POND RD
Practice Address - Street 2:
Practice Address - City:JOBSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08041-9990
Practice Address - Country:US
Practice Address - Phone:609-949-2700
Practice Address - Fax:609-353-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport