Provider Demographics
NPI:1528360674
Name:FATIMA MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:FATIMA MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:SALIH
Authorized Official - Last Name:ABDALLA
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:602-487-3332
Mailing Address - Street 1:PO BOX 56252
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85079-6252
Mailing Address - Country:US
Mailing Address - Phone:602-487-3332
Mailing Address - Fax:
Practice Address - Street 1:2025 W INDIAN SCHOOL ROAD
Practice Address - Street 2:#705
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015
Practice Address - Country:US
Practice Address - Phone:602-487-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)