Provider Demographics
NPI:1417136334
Name:AMELCO TRANS L.L.C
Entity Type:Organization
Organization Name:AMELCO TRANS L.L.C
Other - Org Name:AMELCO TRANS L.L.C
Other - Org Type:Other Name
Authorized Official - Title/Position:ONWER/MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:O
Authorized Official - Last Name:ABAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-639-3147
Mailing Address - Street 1:3139 W PARK ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6376
Mailing Address - Country:US
Mailing Address - Phone:602-639-3147
Mailing Address - Fax:602-276-7358
Practice Address - Street 1:3139 W PARK ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6376
Practice Address - Country:US
Practice Address - Phone:602-639-3147
Practice Address - Fax:602-276-7358
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMELCO TRANS L.L.C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-27
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)