Provider Demographics
NPI:1477266716
Name:OMMEGA TRANSPORTATION LLC
Entity Type:Organization
Organization Name:OMMEGA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZELALEM
Authorized Official - Middle Name:MENGISTU
Authorized Official - Last Name:GEBIREMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-667-7293
Mailing Address - Street 1:13074 E KANSAS DR # 2H104
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-7375
Mailing Address - Country:US
Mailing Address - Phone:720-505-9709
Mailing Address - Fax:303-667-7293
Practice Address - Street 1:6025 ERIN PARK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5400
Practice Address - Country:US
Practice Address - Phone:720-505-9709
Practice Address - Fax:303-667-7293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)