Provider Demographics
NPI:1528593324
Name:ROYAL EXPRESS LLC
Entity Type:Organization
Organization Name:ROYAL EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KARTASHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-391-1001
Mailing Address - Street 1:6710 N 47TH AVE
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-4121
Mailing Address - Country:US
Mailing Address - Phone:602-391-1001
Mailing Address - Fax:602-391-2511
Practice Address - Street 1:6710 N 47TH AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-4121
Practice Address - Country:US
Practice Address - Phone:602-391-1001
Practice Address - Fax:602-391-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-29
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50389343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)