Provider Demographics
NPI:1649595422
Name:METRO MEDIC INC
Entity Type:Organization
Organization Name:METRO MEDIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHANAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-730-1700
Mailing Address - Street 1:5910 MCMILLAN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2434
Mailing Address - Country:US
Mailing Address - Phone:313-730-1700
Mailing Address - Fax:
Practice Address - Street 1:5910 MCMILLAN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2434
Practice Address - Country:US
Practice Address - Phone:313-730-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)