Provider Demographics
NPI:1689942666
Name:PRODUCTION MEDICS LLC
Entity Type:Organization
Organization Name:PRODUCTION MEDICS LLC
Other - Org Name:PRODUCTION MEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:C
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-331-9911
Mailing Address - Street 1:8839 TORRESDALE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-1510
Mailing Address - Country:US
Mailing Address - Phone:215-331-9911
Mailing Address - Fax:215-914-6352
Practice Address - Street 1:8839 TORRESDALE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19136-1510
Practice Address - Country:US
Practice Address - Phone:215-331-9911
Practice Address - Fax:215-914-6352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA510034341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance