Provider Demographics
NPI:1568150753
Name:TOTAL QUALITY TRANSPORT LLC
Entity Type:Organization
Organization Name:TOTAL QUALITY TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSOUBAII
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-628-3211
Mailing Address - Street 1:4843 W BRYCE LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-1527
Mailing Address - Country:US
Mailing Address - Phone:602-628-3211
Mailing Address - Fax:
Practice Address - Street 1:325 KLAGETOH ST
Practice Address - Street 2:APT B102
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301
Practice Address - Country:US
Practice Address - Phone:602-628-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)