Provider Demographics
NPI:1477284321
Name:SUADNA MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SUADNA MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MENEGER
Authorized Official - Prefix:
Authorized Official - First Name:NAWAL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-955-8831
Mailing Address - Street 1:3106 W VOGEL AVE APT A207
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-2637
Mailing Address - Country:US
Mailing Address - Phone:480-955-8831
Mailing Address - Fax:
Practice Address - Street 1:3106 W VOGEL AVE APT A207
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-2637
Practice Address - Country:US
Practice Address - Phone:480-955-8831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker