Provider Demographics
NPI:1497430367
Name:E & K TRANSPORTATION LLC
Entity Type:Organization
Organization Name:E & K TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:AMBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-692-6406
Mailing Address - Street 1:9323 S 183RD DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-5269
Mailing Address - Country:US
Mailing Address - Phone:602-692-6406
Mailing Address - Fax:
Practice Address - Street 1:1622 N BLACK CANYON HWY UNIT C1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-2910
Practice Address - Country:US
Practice Address - Phone:602-692-6406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)