Provider Demographics
NPI:1437380128
Name:STAT AIR INTERNATIONAL, LLC.
Entity Type:Organization
Organization Name:STAT AIR INTERNATIONAL, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:P
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:619-600-8021
Mailing Address - Street 1:501 W BROADWAY STE 116A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-3536
Mailing Address - Country:US
Mailing Address - Phone:800-557-5911
Mailing Address - Fax:619-754-9998
Practice Address - Street 1:501 W BROADWAY
Practice Address - Street 2:STE. 116-A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3536
Practice Address - Country:US
Practice Address - Phone:619-754-6550
Practice Address - Fax:619-754-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport