Provider Demographics
NPI:1659072072
Name:GABRIEL MED TRANSPORT, LLC
Entity Type:Organization
Organization Name:GABRIEL MED TRANSPORT, LLC
Other - Org Name:GABRIEL MED TRANSPORT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMAO
Authorized Official - Middle Name:COXI
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-291-2256
Mailing Address - Street 1:2020 S ONEIDA ST STE 14
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2453
Mailing Address - Country:US
Mailing Address - Phone:720-291-2256
Mailing Address - Fax:303-731-6936
Practice Address - Street 1:2020 S ONEIDA ST STE 14
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2453
Practice Address - Country:US
Practice Address - Phone:720-291-2256
Practice Address - Fax:303-731-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty