Provider Demographics
NPI:1750512182
Name:VERSATRAN, USA, INC.
Entity Type:Organization
Organization Name:VERSATRAN, USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-644-5525
Mailing Address - Street 1:26910 THE OLD RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0662
Mailing Address - Country:US
Mailing Address - Phone:661-702-0870
Mailing Address - Fax:818-905-5010
Practice Address - Street 1:29033 AVENUE SHERMAN
Practice Address - Street 2:SUITE 202
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5409
Practice Address - Country:US
Practice Address - Phone:661-702-0870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment