Provider Demographics
NPI:1548596653
Name:M & S TRANSPORTATION LLC
Entity Type:Organization
Organization Name:M & S TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDELSALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-606-0034
Mailing Address - Street 1:2721 W COLTER ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-2914
Mailing Address - Country:US
Mailing Address - Phone:623-606-0034
Mailing Address - Fax:480-785-0249
Practice Address - Street 1:2721 W COLTER ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-2914
Practice Address - Country:US
Practice Address - Phone:623-606-0034
Practice Address - Fax:480-785-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20502965343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)