Provider Demographics
NPI:1548568520
Name:AMBUNET MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:AMBUNET MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAATOVICH
Authorized Official - Last Name:DONADZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-713-8097
Mailing Address - Street 1:2735 TERWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090
Mailing Address - Country:US
Mailing Address - Phone:215-713-8097
Mailing Address - Fax:215-689-3141
Practice Address - Street 1:2735 TERWOOD RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1430
Practice Address - Country:US
Practice Address - Phone:215-713-8097
Practice Address - Fax:215-689-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10041341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance