Provider Demographics
NPI:1619210739
Name:CLX MEDICAL TRANSPORT INC.
Entity Type:Organization
Organization Name:CLX MEDICAL TRANSPORT INC.
Other - Org Name:CLX MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-768-8616
Mailing Address - Street 1:721 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-3119
Mailing Address - Country:US
Mailing Address - Phone:760-554-5389
Mailing Address - Fax:760-357-6597
Practice Address - Street 1:721 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-3119
Practice Address - Country:US
Practice Address - Phone:760-554-5389
Practice Address - Fax:760-357-6597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)