Provider Demographics
NPI:1437553153
Name:ELITE AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:ELITE AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-508-7169
Mailing Address - Street 1:1118 COMMERCE DR
Mailing Address - Street 2:NO. 2
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5954
Mailing Address - Country:US
Mailing Address - Phone:956-508-7169
Mailing Address - Fax:
Practice Address - Street 1:1118 COMMERCE DR
Practice Address - Street 2:NO. 2
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5954
Practice Address - Country:US
Practice Address - Phone:956-508-7169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport